This log is also available as text (s06637.txt) and as a (binary) annotation file (s06637.log).
Generated: Monday, 07-Jun-2010 13:20:23 EDT
(All dates below are surrogates.)
t0: 481434:54:56 tf: 481434:54:56 id: a42567 [view]
t0: [17:41:59 29/10/2011] tf: [20:00:59 03/11/2011] id: a42567n [view]
t0: 481434:54:56 tf: 481434:54:56 id: a42928 [view]
t0: [17:09:59 29/10/2011] tf: [17:27:59 31/10/2011] id: a42928n [view]
dd: 0388 ds: 1 ld: SEPTICEMIA NEC dd: 04104 ds: 21 ld: STREPTOCOCCUS INFECTION dd: 1140 ds: 3 ld: PRIMARY COCCIDIOIDOMYCOS dd: 2536 ds: 11 ld: NEUROHYPOPHYSIS DIS NEC dd: 2738 ds: 19 ld: DIS PLAS PROTEIN MET NEC dd: 2875 ds: 10 ld: THROMBOCYTOPENIA NOS dd: 4280 ds: 9 ld: CONGESTIVE HEART FAILURE dd: 5100 ds: 7 ld: EMPYEMA WITH FISTULA dd: 5121 ds: 12 ld: IATROGENIC PNEUMOTHORAX dd: 5130 ds: 6 ld: ABSCESS OF LUNG dd: 51881 ds: 2 ld: RESPIRATORY FAILURE dd: 5738 ds: 15 ld: LIVER DISORDERS NEC dd: 5849 ds: 8 ld: ACUTE RENAL FAILURE NOS dd: 5997 ds: 20 ld: HEMATURIA dd: 6930 ds: 16 ld: DRUG DERMATITIS NOS dd: 70703 ds: 13 ld: DECUBITUS ULCER, LOWER B dd: 7280 ds: 5 ld: INFECTIVE MYOSITIS dd: 78552 ds: 4 ld: SEPTIC SHOCK dd: 99592 ds: 18 ld: SYST INFLAM RESPN INFECT dd: E9319 ds: 17 ld: ADV EFF ANTINFCT NEC/NOS dd: V5865 ds: 14 ld: LONG-TERM (CURRENT) USE
tf: [00:00:00 30/10/2011] pt: IV Piggyback rt: IV fr: Q24H fs: 0 dn: 1 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml tf: [09:00:00 31/10/2011] pt: Unit Dose rt: IV fr: QD:PRN m1: Heparin Flush PICC (100 units/ml) v1: 2 u1: ml tf: [15:00:00 03/11/2011] pt: IV Piggyback rt: IV fr: Q24H fs: 8 dn: 1 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml tf: [21:00:00 05/11/2011] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT tf: [14:00:00 12/11/2011] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Acetaminophen v1: 325-650 u1: mg tf: [14:00:00 12/11/2011] pt: Unit Dose rt: PO fr: QD:PRN m1: Bisacodyl v1: 10 u1: mg tf: [14:00:00 12/11/2011] pt: Unit Dose rt: PR fr: QD:PRN m1: Bisacodyl (Rectal) v1: 10 u1: mg
tf: [18:00:00 30/10/2011] pt: Unit Dose rt: PO fr: Q24H fs: 1 dn: 1 m1: Pantoprazole v1: 40 u1: mg
tf: [19:00:00 31/10/2011] pt: Unit Dose rt: PO fr: BID fs: 08, 20 dn: 2 m1: Docusate Sodium v1: 100 u1: mg
tf: [18:00:00 30/10/2011] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Prednisone v1: 10 u1: mg tf: [11:00:00 03/11/2011] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Alendronate Sodium v1: 5 u1: mg tf: [10:00:00 06/11/2011] pt: Unit Dose rt: NG fr: QD fs: 10 dn: 1 m1: Lansoprazole Oral Suspension v1: 30 u1: mg
tf: [12:00:00 30/10/2011] pt: IV Piggyback rt: IV fr: Q12H fs: 11, 23 dn: 2 m1: Ceftazidime v1: 1 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml tf: [12:00:00 30/10/2011] pt: IV Piggyback rt: IV fr: Q24H fs: 11 dn: 1 m1: Ambisome v1: 250 u1: mg m2: D5W v2: 62.5 u2: ml
io: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ra: 10 ru: ml/hr
id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push id: Pre-Admission Intake el: 1 cu: MICU-A cg: RN io: Pre-Admission Intake Pre-Admission Intake du: cc rt: Intravenous Push
tf: [19:03:00 12/11/2011] dt: 19109 cu: MICU-A di: No Disch Status
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: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: PT el: 0 cu: MICU-A cg: 1663 v1: 12.8 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 36 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.8 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 36 rs: Final st: NotStopd
t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: BUN el: 0 cu: MICU-A cg: 1663 v1: 62 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.7 u1: mg/dl rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 95 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 74 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 u1: mEq/L rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.3 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 131 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.4 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 106 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 199 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 600 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: Amylase Enzymes el: 0 cu: MICU-A cg: 1663 v1: 62 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 62 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.7 u1: mg/dl rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 95 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 74 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 607 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.9 u1: mEq/L rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.3 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 131 rs: Final st: NotStopd t0: [11:43:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19160 id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.4 rs: Final st: NotStopd
t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 30/10/2011] tf: [16:00:00 31/10/2011] dt: 1680 id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 30/10/2011] tf: [20:00:00 31/10/2011] dt: 1920 id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Verbal st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 30/10/2011] tf: [20:00:00 31/10/2011] dt: 1920 id: Cough Type el: 0 cu: MICU-A cg: RN v1: Strong st: NotStopd t0: [12:00:00 30/10/2011] tf: [09:00:00 05/11/2011] dt: 8460 id: Communication el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Productive st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Readmit <48 hrs el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Education Barrier el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Education Handout el: 0 cu: MICU-A cg: RN v1: Given st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Education Learner el: 0 cu: MICU-A cg: RN v1: Sig Othr/Family st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Education Method el: 0 cu: MICU-A cg: RN v1: Explanation st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Education Response el: 0 cu: MICU-A cg: RN v1: Understands st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: ICU Environment st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Family Communication el: 0 cu: MICU-A cg: RN v1: Fam Talked to RN st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 30/10/2011] tf: [16:01:00 03/11/2011] dt: 6001 id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [12:00:00 30/10/2011] tf: [15:00:00 03/11/2011] dt: 5940 id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Poor st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [12:00:00 30/10/2011] tf: [16:00:00 04/11/2011] dt: 7440 id: NBP el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 30/10/2011] tf: [16:00:00 04/11/2011] dt: 7440 id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Motor Response el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg st: NotStopd t0: [12:00:00 30/10/2011] tf: [08:00:00 06/11/2011] dt: 9840 id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Face Tent st: NotStopd t0: [12:00:00 30/10/2011] tf: [08:00:00 06/11/2011] dt: 9840 id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 0.5 u1: lpm st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 30/10/2011] tf: [09:00:00 05/11/2011] dt: 8460 id: RLE/LLE Sensation el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 30/10/2011] tf: [09:00:00 05/11/2011] dt: 8460 id: RUE/LUE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [12:00:00 30/10/2011] tf: [20:00:00 31/10/2011] dt: 1920 id: Respiratory Effort el: 0 cu: MICU-A cg: RN v1: Dyspneic st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Tachypneic st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [12:00:00 30/10/2011] tf: [09:00:00 05/11/2011] dt: 8460 id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 30/10/2011] tf: [09:00:00 05/11/2011] dt: 8460 id: Speech el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: SpO2 el: 0 cu: MICU-A cg: RN v1: Garbled st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Rectal st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Brown v2: Cloudy st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 89 rs: Manual st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd t0: [12:00:00 30/10/2011] tf: [13:00:00 31/10/2011] dt: 1500 id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [12:00:00 30/10/2011] tf: [13:00:00 31/10/2011] dt: 1500 id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Purulent st: NotStopd t0: [12:00:00 30/10/2011] tf: [13:00:00 31/10/2011] dt: 1500 id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 30/10/2011] tf: [13:00:00 31/10/2011] dt: 1500 id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [12:00:00 30/10/2011] tf: [13:00:00 31/10/2011] dt: 1500 id: CT #1 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd
t0: [12:00:00 30/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [12:00:00 30/10/2011] tf: [14:00:00 30/10/2011] dt: 120 id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [12:00:00 30/10/2011] tf: [21:00:00 08/11/2011] dt: 13500 id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd
t0: [13:00:00 30/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 30/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 30/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 30/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 30/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [13:00:00 30/10/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [13:00:00 30/10/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg st: NotStopd t0: [13:00:00 30/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19083 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [13:00:00 30/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [13:00:00 30/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [13:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19083 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [13:00:00 30/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 30/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [13:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19083 id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [13:00:00 30/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [13:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19083 id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 30/10/2011] tf: [12:00:00 03/11/2011] dt: 5700 id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml t0: [13:00:00 30/10/2011] tf: [20:00:00 06/11/2011] dt: 10500 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml
t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd
tf: [09:00:00 05/11/2011] pt: Unit Dose rt: IV fr: QD:PRN m1: Heparin Flush PICC (100 units/ml) v1: 2 u1: ml
t0: [13:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19083 id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 18 st: NotStopd t0: [13:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19083 id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [13:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19083 id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd
t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [12:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19143 id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Expectorated v2: Moderate st: NotStopd
t0: [14:00:00 30/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 30/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 30/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 30/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 30/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 109 u1: BPM st: NotStopd t0: [14:00:00 30/10/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [14:00:00 30/10/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [14:00:00 30/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19023 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [14:00:00 30/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [14:00:00 30/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [14:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 19023 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [14:00:00 30/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 30/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [14:00:00 30/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 30/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 30/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 30/10/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 0 vu: ml
tf: [09:00:00 31/10/2011] pt: IV Piggyback rt: IV fr: Q24H fs: 14 dn: 1 m1: Ambisome v1: 400 u1: mg m2: D5W v2: 100 u2: ml tf: [13:00:00 31/10/2011] pt: Unit Dose rt: IV fr: ONCE fs: 14 dn: 1 m1: Cosyntropin v1: 250 u1: mcg
tf: [14:00:00 31/10/2011] pt: IV Piggyback rt: IV fr: ONCE fs: 15 dn: 1 m1: Caspofungin v1: 70 u1: mg m2: NS v2: 250 u2: ml tf: [14:00:00 12/11/2011] pt: IV Piggyback rt: IV fr: Q6H fs: 4, 10, 16, 22 dn: 4 m1: Piperacillin-Tazobactam Na v1: 2.25 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml
t0: [15:00:00 30/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 30/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 30/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 30/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 30/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 109 u1: BPM st: NotStopd t0: [15:00:00 30/10/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [15:00:00 30/10/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 61.3333 u1: mmHg st: NotStopd t0: [16:30:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18873 id: PresSoreStage/Heal#1 el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18963 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [16:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18903 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [16:30:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18873 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [15:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18963 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [15:00:00 30/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 30/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 34 u1: BPM st: NotStopd t0: [16:30:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18873 id: Significant Events el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 30/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 30/10/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 30/10/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [16:00:00 30/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 30/10/2011] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [16:00:00 30/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 30/10/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: Verbal st: NotStopd t0: [16:00:00 30/10/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [16:00:00 30/10/2011] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Weak st: NotStopd t0: [16:00:00 30/10/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 30/10/2011] id: Cough Type el: 0 cu: MICU-A cg: RN v1: Productive st: NotStopd t0: [16:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18903 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18903 id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 30/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 30/10/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 30/10/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [16:00:00 30/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18873 id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 30/10/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [16:00:00 30/10/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 30/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:30:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18873 id: Family Communication el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 30/10/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [16:00:00 30/10/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 12 u1: points st: NotStopd t0: [16:00:00 30/10/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 30/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 106 u1: BPM st: NotStopd t0: [16:00:00 30/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 30/10/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [16:00:00 30/10/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 30/10/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [16:00:00 30/10/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 30/10/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 30/10/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [16:00:00 30/10/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 30/10/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [16:00:00 30/10/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 62.6667 u1: mmHg st: NotStopd t0: [16:00:00 30/10/2011] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Face Tent st: NotStopd t0: [16:30:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18873 id: Oral Care el: 0 cu: MICU-A cg: RN v1: 0.5 u1: lpm st: NotStopd t0: [16:00:00 30/10/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 30/10/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [16:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18903 id: Pain Type el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 30/10/2011] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18873 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 30/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [16:00:00 30/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [16:00:00 30/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [16:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18903 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [16:00:00 30/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:30:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18873 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 30/10/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 30/10/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 30/10/2011] id: RLE/LLE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [16:00:00 30/10/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 30/10/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 30/10/2011] id: RUE/LUE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [16:00:00 30/10/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Insp Wheeze st: NotStopd t0: [16:00:00 30/10/2011] id: Respiratory Effort el: 0 cu: MICU-A cg: RN v1: Normal st: NotStopd t0: [16:00:00 30/10/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Tachypneic st: NotStopd t0: [16:00:00 30/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [16:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18903 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 30/10/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18873 id: Skin Care el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [16:00:00 30/10/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Garbled st: NotStopd t0: [16:00:00 30/10/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 30/10/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 30/10/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [16:00:00 30/10/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [16:00:00 30/10/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 30/10/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 2 Incomp sounds st: NotStopd t0: [16:00:00 30/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 30/10/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 30/10/2011] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [16:00:00 30/10/2011] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Purulent st: NotStopd t0: [16:00:00 30/10/2011] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 30/10/2011] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [16:00:00 30/10/2011] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [16:30:00 30/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:30:00 30/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:30:00 30/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:30:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18873 id: Education Barrier el: 0 cu: MICU-A cg: RN v1: General st: NotStopd t0: [16:30:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18873 id: Education Handout el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18873 id: Education Learner el: 0 cu: MICU-A cg: RN v1: Given st: NotStopd t0: [16:30:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18873 id: Education Method el: 0 cu: MICU-A cg: RN v1: Sig Othr/Family st: NotStopd t0: [16:30:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18873 id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Explanation st: NotStopd t0: [16:30:00 30/10/2011] id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:30:00 30/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:30:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18873 id: Education Response el: 0 cu: MICU-A cg: RN v1: Understands st: NotStopd t0: [16:30:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18873 id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [16:30:00 30/10/2011] id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: Plan of Care st: NotStopd t0: [16:30:00 30/10/2011] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Fam Talked to RN st: NotStopd t0: [16:30:00 30/10/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:30:00 30/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [16:30:00 30/10/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:30:00 30/10/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [16:30:00 30/10/2011] tf: [09:00:00 05/11/2011] dt: 8190 id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [16:30:00 30/10/2011] tf: [09:00:00 05/11/2011] dt: 8190 id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Edema/Swelling st: NotStopd t0: [16:30:00 30/10/2011] tf: [09:00:00 05/11/2011] dt: 8190 id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 30/10/2011] tf: [09:00:00 05/11/2011] dt: 8190 id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [16:30:00 30/10/2011] tf: [09:00:00 05/11/2011] dt: 8190 id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [16:30:00 30/10/2011] tf: [09:00:00 05/11/2011] dt: 8190 id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [16:30:00 30/10/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [16:30:00 30/10/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [16:30:00 30/10/2011] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:30:00 30/10/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [16:30:00 30/10/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:30:00 30/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:30:00 30/10/2011] id: PresSoreStage/Heal#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: No st: NotStopd t0: [16:30:00 30/10/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Sanguinous v2: Small st: NotStopd t0: [16:30:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18873 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [16:30:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18873 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Dermagran st: NotStopd t0: [16:30:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18873 id: PressSoreWoundBase#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [16:30:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18873 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [16:30:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18873 id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [16:30:00 30/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [16:30:00 30/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [16:30:00 30/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [16:30:00 30/10/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [16:30:00 30/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:30:00 30/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 31 u1: BPM st: NotStopd t0: [16:30:00 30/10/2011] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [16:30:00 30/10/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:30:00 30/10/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [16:30:00 30/10/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:30:00 30/10/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:30:00 30/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [16:30:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18873 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:30:00 30/10/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [16:30:00 30/10/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [16:30:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18873 id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:30:00 30/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:30:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18873 id: Behavior el: 0 cu: MICU-A cg: RN v1: Cooperative st: NotStopd t0: [16:30:00 30/10/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [16:30:00 30/10/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [16:30:00 30/10/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [16:30:00 30/10/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [16:30:00 30/10/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [16:30:00 30/10/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [16:30:00 30/10/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd t0: [17:00:00 30/10/2011] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [17:00:00 30/10/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [17:00:00 30/10/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 18 st: NotStopd t0: [17:00:00 30/10/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [17:00:00 30/10/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd
t0: [14:30:00 30/10/2011] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [15:30:00 30/10/2011] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml t0: [16:00:00 30/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 30/10/2011] tf: [18:00:00 30/10/2011] dt: 120 id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml t0: [16:30:00 30/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 500 vu: ml
t0: [17:09:00 30/10/2011] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [17:09:00 30/10/2011] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 89 u1: kg t0: [17:09:00 30/10/2011] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [17:09:00 30/10/2011] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: FUNGAL PNEUMONIA t0: [17:09:00 30/10/2011] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [17:09:00 30/10/2011] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [17:09:00 30/10/2011] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [17:09:00 30/10/2011] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: M t0: [17:09:00 30/10/2011] id: Religion el: 1000 cu: MICU-A cg: -1 v1: RCA t0: [17:09:00 30/10/2011] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [17:09:00 30/10/2011] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [17:09:00 30/10/2011] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [17:09:00 30/10/2011] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [17:00:00 30/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 30/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 30/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 30/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 30/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [17:00:00 30/10/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [17:00:00 30/10/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 44.3333 u1: mmHg st: NotStopd t0: [17:00:00 30/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18843 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [17:00:00 30/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [17:00:00 30/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [17:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18843 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [17:00:00 30/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 30/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [17:00:00 30/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 30/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 30/10/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 95 rs: Manual st: NotStopd
t0: [18:00:00 30/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 30/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 30/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 30/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 30/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 30/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 30/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 110 u1: BPM st: NotStopd t0: [18:00:00 30/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 30/10/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [18:00:00 30/10/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 59.3333 u1: mmHg st: NotStopd t0: [18:00:00 30/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18783 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [18:00:00 30/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [18:00:00 30/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [18:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18783 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [18:00:00 30/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 30/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 36 u1: BPM st: NotStopd t0: [18:00:00 30/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 30/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 30/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [18:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18783 id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 420 vu: ml t0: [18:00:00 30/10/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 0 vu: ml
t0: [23:00:00 30/10/2011] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU-A cg: RN cv: 420 ap: none
t0: [16:00:00 30/10/2011] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml
t0: [18:00:00 30/10/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd
t0: [18:30:00 30/10/2011] tf: [13:30:00 31/10/2011] dt: 1140 id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
tf: [09:00:00 01/11/2011] pt: IV Piggyback rt: IV fr: Q8H fs: 2, 10, 18 dn: 3 m1: Hydrocortisone Na Succ. v1: 100 u1: mg m2: Vial v2: 1 u2: VIAL
t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.3 rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.3 rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 26.5 u1: % rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.1 u1: gm/dl rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 97 rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.01 u1: /mic l rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.3 rs: Final st: NotStopd
t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: BUN el: 0 cu: MICU-A cg: 1663 v1: 60 rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.7 u1: mg/dl rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 99 rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 71 rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.7 rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 134 rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 60 rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.7 u1: mg/dl rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 99 rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 71 rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.7 rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.3 u1: mEq/L rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 134 rs: Final st: NotStopd
t0: [19:00:00 30/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 30/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 30/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 30/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18663 id: Education Barrier el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 30/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 30/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [19:00:00 30/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 30/10/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [19:00:00 30/10/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 48.6667 u1: mmHg st: NotStopd t0: [20:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18663 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18723 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [20:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18663 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [19:00:00 30/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [19:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18723 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [19:00:00 30/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 30/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [19:00:00 30/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 30/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 30/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 30/10/2011] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [20:00:00 30/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 30/10/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: Verbal st: NotStopd t0: [20:00:00 30/10/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 30/10/2011] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Weak st: NotStopd t0: [20:00:00 30/10/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 30/10/2011] id: Cough Type el: 0 cu: MICU-A cg: RN v1: Productive st: NotStopd t0: [20:00:00 30/10/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 30/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 30/10/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 30/10/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 30/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18663 id: Education Learner el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18663 id: Education Method el: 0 cu: MICU-A cg: RN v1: General st: NotStopd t0: [20:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18663 id: Education Readiness el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 30/10/2011] id: Education Learner el: 0 cu: MICU-A cg: RN v1: Sig Othr/Family st: NotStopd t0: [20:00:00 30/10/2011] id: Education Method el: 0 cu: MICU-A cg: RN v1: Explanation st: NotStopd t0: [20:00:00 30/10/2011] id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 30/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18663 id: Education Response el: 0 cu: MICU-A cg: RN v1: Understands st: NotStopd t0: [20:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18663 id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [20:00:00 30/10/2011] id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18663 id: Family Communication el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 30/10/2011] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Fam Talked to RN st: NotStopd t0: [20:00:00 30/10/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 30/10/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 30/10/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 30/10/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 30/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [20:00:00 30/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 30/10/2011] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [20:00:00 30/10/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 30/10/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [20:00:00 30/10/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 18 st: NotStopd t0: [20:00:00 30/10/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [20:00:00 30/10/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 30/10/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 30/10/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 30/10/2011] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [20:00:00 30/10/2011] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Edema/Swelling st: NotStopd t0: [20:00:00 30/10/2011] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 30/10/2011] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 30/10/2011] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [20:00:00 30/10/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [20:00:00 30/10/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 30/10/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [20:00:00 30/10/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 30/10/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 30/10/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [20:00:00 30/10/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 30/10/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [20:00:00 30/10/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 62.3333 u1: mmHg st: NotStopd t0: [20:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18663 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 30/10/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 30/10/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [20:00:00 30/10/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 30/10/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 30/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 30/10/2011] id: PresSoreStage/Heal#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: No st: NotStopd t0: [20:00:00 30/10/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Sanguinous v2: Small st: NotStopd t0: [20:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18663 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [20:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18663 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Dermagran st: NotStopd t0: [20:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18663 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [20:00:00 30/10/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [20:00:00 30/10/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 30/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [20:00:00 30/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [20:00:00 30/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [20:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18663 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [20:00:00 30/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 30/10/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [20:00:00 30/10/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 30/10/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 30/10/2011] id: RLE/LLE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [20:00:00 30/10/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [20:00:00 30/10/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 30/10/2011] id: RUE/LUE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [20:00:00 30/10/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Insp Wheeze st: NotStopd t0: [20:00:00 30/10/2011] id: Respiratory Effort el: 0 cu: MICU-A cg: RN v1: Normal st: NotStopd t0: [20:00:00 30/10/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Tachypneic st: NotStopd t0: [20:00:00 30/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [20:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18663 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 30/10/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 30/10/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 30/10/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [20:00:00 30/10/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 30/10/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 30/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 30/10/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Garbled st: NotStopd t0: [20:00:00 30/10/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18663 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 30/10/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 30/10/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [20:00:00 30/10/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [20:00:00 30/10/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [20:00:00 30/10/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 30/10/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Brown v2: Sediment st: NotStopd t0: [20:00:00 30/10/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 30/10/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18663 id: Behavior el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 30/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 30/10/2011] id: Behavior el: 0 cu: MICU-A cg: RN v1: Cooperative st: NotStopd t0: [20:00:00 30/10/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 30/10/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 30/10/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [20:00:00 30/10/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 30/10/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [20:00:00 30/10/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [20:00:00 30/10/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [20:00:00 30/10/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd t0: [20:00:00 30/10/2011] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [20:00:00 30/10/2011] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Purulent st: NotStopd t0: [20:00:00 30/10/2011] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 30/10/2011] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [20:00:00 30/10/2011] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd
t0: [19:00:00 30/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 30/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 30/10/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [21:00:00 30/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 30/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 30/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 30/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 30/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 30/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 30/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [21:00:00 30/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 30/10/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [21:00:00 30/10/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [21:00:00 30/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18603 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [21:00:00 30/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [21:00:00 30/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [21:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18603 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [21:00:00 30/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 30/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [21:00:00 30/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 30/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 30/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 30/10/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [20:31:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18632 id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
id: Packed RBC's el: 1 cu: MICU-A cg: RN io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [22:00:00 30/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 30/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 30/10/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 30/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 30/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 30/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 30/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 30/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [22:00:00 30/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 30/10/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [22:00:00 30/10/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [22:00:00 30/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18543 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [23:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18483 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [22:00:00 30/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [22:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18543 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [22:00:00 30/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 30/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [22:00:00 30/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 30/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 30/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 30/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 30/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 30/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 30/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 30/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 30/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [23:00:00 30/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 30/10/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [23:00:00 30/10/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 64.3333 u1: mmHg st: NotStopd t0: [23:00:00 30/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 30/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [23:00:00 30/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [23:00:00 30/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [23:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18483 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [23:00:00 30/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 30/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [23:00:00 30/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 30/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 30/10/2011] tf: [13:30:00 31/10/2011] dt: 990 id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 375 vu: ml t0: [22:00:00 30/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 30/10/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 36 vu: ml t0: [23:00:00 30/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 30/10/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 54 vu: ml
t0: [23:00:00 30/10/2011] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 54 cv: 54 ap: none t0: [23:00:00 30/10/2011] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -44 cv: -44 ap: none t0: [23:00:00 30/10/2011] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 10 cv: 1505 ap: none t0: [23:00:00 30/10/2011] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 10 cv: 1880 ap: none t0: [23:00:00 30/10/2011] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 54 cv: 590 ap: none t0: [23:00:00 30/10/2011] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -44 cv: 870 ap: none t0: [23:00:00 30/10/2011] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 54 cv: 1010 ap: none t0: [23:00:00 30/10/2011] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: RN cv: 375 ap: none t0: [23:00:00 30/10/2011] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -44 cv: 870 ap: none
t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Differential-Bands Hematology el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 6 rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 87 rs: Final st: NotStopd
t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.9 rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 585 rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.9 rs: Final st: NotStopd t0: [18:26:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18757 id: Vancomycin/Random Drug Level el: 0 cu: MICU-A cg: 1663 v1: 15.1 rs: Final st: NotStopd
t0: [20:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18663 id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 30/10/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 30/10/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 30/10/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 30/10/2011] tf: [19:03:00 12/11/2011] dt: 18543 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 30/10/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [22:00:00 30/10/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 30/10/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 30/10/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [22:00:00 30/10/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18423 id: Behavior el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 31/10/2011] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [00:00:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 31/10/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: Verbal st: NotStopd t0: [00:00:00 31/10/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 31/10/2011] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Weak st: NotStopd t0: [00:00:00 31/10/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 31/10/2011] id: Cough Type el: 0 cu: MICU-A cg: RN v1: Productive st: NotStopd t0: [00:00:00 31/10/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 31/10/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 31/10/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 31/10/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General st: NotStopd t0: [00:00:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 31/10/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [00:00:00 31/10/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 31/10/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 31/10/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 31/10/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 31/10/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 102 u1: BPM st: NotStopd t0: [00:00:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 31/10/2011] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [00:00:00 31/10/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 31/10/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [00:00:00 31/10/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 18 st: NotStopd t0: [00:00:00 31/10/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [00:00:00 31/10/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 31/10/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 31/10/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 31/10/2011] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 31/10/2011] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Edema/Swelling st: NotStopd t0: [00:00:00 31/10/2011] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 31/10/2011] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 31/10/2011] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [00:00:00 31/10/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [00:00:00 31/10/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 31/10/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [00:00:00 31/10/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 31/10/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 31/10/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [00:00:00 31/10/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 31/10/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [00:00:00 31/10/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [00:00:00 31/10/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 31/10/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [00:00:00 31/10/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 31/10/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18423 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 31/10/2011] id: PresSoreStage/Heal#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: No st: NotStopd t0: [00:00:00 31/10/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Sanguinous v2: Small st: NotStopd t0: [00:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18423 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18423 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Dermagran st: NotStopd t0: [00:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18423 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [00:00:00 31/10/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [00:00:00 31/10/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18423 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [01:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18363 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [02:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18303 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [00:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18423 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [00:00:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18363 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [02:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18303 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 31/10/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 31/10/2011] id: RLE/LLE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [00:00:00 31/10/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [00:00:00 31/10/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 31/10/2011] id: RUE/LUE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [00:00:00 31/10/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Insp Wheeze st: NotStopd t0: [00:00:00 31/10/2011] id: Respiratory Effort el: 0 cu: MICU-A cg: RN v1: Normal st: NotStopd t0: [00:00:00 31/10/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 30 u1: BPM st: NotStopd t0: [00:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18423 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 31/10/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 31/10/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 31/10/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 31/10/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [00:00:00 31/10/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 31/10/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [00:00:00 31/10/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Garbled st: NotStopd t0: [00:00:00 31/10/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18423 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 31/10/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 31/10/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [00:00:00 31/10/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [00:00:00 31/10/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [00:00:00 31/10/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 31/10/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Brown v2: Sediment st: NotStopd t0: [00:00:00 31/10/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 31/10/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 31/10/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 31/10/2011] id: Behavior el: 0 cu: MICU-A cg: RN v1: Cooperative st: NotStopd t0: [00:00:00 31/10/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 31/10/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 31/10/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [00:00:00 31/10/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 31/10/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [00:00:00 31/10/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [00:00:00 31/10/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [00:00:00 31/10/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd t0: [00:00:00 31/10/2011] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [00:00:00 31/10/2011] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Purulent st: NotStopd t0: [00:00:00 31/10/2011] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 31/10/2011] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [00:00:00 31/10/2011] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [01:00:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [01:00:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 31/10/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [01:00:00 31/10/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 57.6667 u1: mmHg st: NotStopd t0: [01:00:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [01:00:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [01:00:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [01:00:00 31/10/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [01:00:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [01:00:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 31/10/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 31/10/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [02:00:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 31/10/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 31/10/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 31/10/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [02:00:00 31/10/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [02:00:00 31/10/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [02:00:00 31/10/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [02:00:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [02:00:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [02:00:00 31/10/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [02:00:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [02:00:00 31/10/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 31/10/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [02:00:00 31/10/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [02:00:00 31/10/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 31/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 31/10/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 42 vu: ml t0: [01:00:00 31/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 31/10/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml t0: [02:00:00 31/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 31/10/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 28 vu: ml
t0: [23:00:00 31/10/2011] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 31/10/2011] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 156.375 cv: 156.375 ap: none t0: [23:00:00 31/10/2011] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 46.375 cv: 3629.95 ap: none t0: [23:00:00 31/10/2011] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 156.375 cv: 4224.95 ap: none t0: [23:00:00 31/10/2011] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1141 ap: none t0: [23:00:00 31/10/2011] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 156.375 cv: 3043.95 ap: none t0: [23:00:00 31/10/2011] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1181 ap: none t0: [23:00:00 31/10/2011] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 156.375 cv: 3913.95 ap: none
t0: [00:00:00 31/10/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 91 rs: Manual st: NotStopd t0: [03:00:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [03:00:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 31/10/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [03:00:00 31/10/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [04:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18183 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18243 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [04:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18183 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [05:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18123 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [03:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18243 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [03:00:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [03:00:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [03:00:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 31/10/2011] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [04:00:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 31/10/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: Verbal st: NotStopd t0: [04:00:00 31/10/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 31/10/2011] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Weak st: NotStopd t0: [04:00:00 31/10/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 31/10/2011] id: Cough Type el: 0 cu: MICU-A cg: RN v1: Productive st: NotStopd t0: [04:00:00 31/10/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 31/10/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 31/10/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 31/10/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General st: NotStopd t0: [04:00:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 31/10/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [04:00:00 31/10/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 31/10/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [04:00:00 31/10/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 31/10/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 31/10/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [04:00:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 31/10/2011] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [04:00:00 31/10/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 31/10/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [04:00:00 31/10/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 18 st: NotStopd t0: [04:00:00 31/10/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [04:00:00 31/10/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 31/10/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 31/10/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 31/10/2011] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 31/10/2011] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Edema/Swelling st: NotStopd t0: [04:00:00 31/10/2011] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 31/10/2011] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 31/10/2011] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [04:00:00 31/10/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [04:00:00 31/10/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 31/10/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [04:00:00 31/10/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 31/10/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 31/10/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [04:00:00 31/10/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 31/10/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [04:00:00 31/10/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 72.3333 u1: mmHg st: NotStopd t0: [04:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18183 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 31/10/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 31/10/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [04:00:00 31/10/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 31/10/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 31/10/2011] id: PresSoreStage/Heal#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: No st: NotStopd t0: [04:00:00 31/10/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Sanguinous v2: Small st: NotStopd t0: [04:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18183 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18183 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Dermagran st: NotStopd t0: [04:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18183 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [04:00:00 31/10/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [04:00:00 31/10/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [06:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18063 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [04:00:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [04:00:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [04:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18183 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [04:00:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18123 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [06:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18063 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 31/10/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 31/10/2011] id: RLE/LLE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [04:00:00 31/10/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [04:00:00 31/10/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 31/10/2011] id: RUE/LUE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [04:00:00 31/10/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Insp Wheeze st: NotStopd t0: [04:00:00 31/10/2011] id: Respiratory Effort el: 0 cu: MICU-A cg: RN v1: Normal st: NotStopd t0: [04:00:00 31/10/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [04:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18183 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 31/10/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 31/10/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 31/10/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 31/10/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [04:00:00 31/10/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 31/10/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [04:00:00 31/10/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Garbled st: NotStopd t0: [04:00:00 31/10/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18183 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 31/10/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [04:00:00 31/10/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [04:00:00 31/10/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [04:00:00 31/10/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 31/10/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Brown v2: Sediment st: NotStopd t0: [04:00:00 31/10/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 31/10/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18183 id: Behavior el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 31/10/2011] id: Behavior el: 0 cu: MICU-A cg: RN v1: Cooperative st: NotStopd t0: [04:00:00 31/10/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [04:00:00 31/10/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 31/10/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [04:00:00 31/10/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 31/10/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [04:00:00 31/10/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [04:00:00 31/10/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [04:00:00 31/10/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: No Impairment st: NotStopd t0: [04:00:00 31/10/2011] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [04:00:00 31/10/2011] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Purulent st: NotStopd t0: [04:00:00 31/10/2011] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 31/10/2011] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [04:00:00 31/10/2011] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [05:00:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [05:00:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 31/10/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [05:00:00 31/10/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 59.3333 u1: mmHg st: NotStopd t0: [05:00:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [05:00:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [05:00:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [05:00:00 31/10/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [05:00:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [05:00:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 31/10/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 31/10/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 105 u1: BPM st: NotStopd t0: [06:00:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 31/10/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 31/10/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 31/10/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [06:00:00 31/10/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [06:00:00 31/10/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [06:00:00 31/10/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [06:00:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [06:00:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [06:00:00 31/10/2011] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [06:00:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [06:00:00 31/10/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 31/10/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [06:00:00 31/10/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 31/10/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 30/10/2011] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [03:00:00 31/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 31/10/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 44 vu: ml t0: [04:00:00 31/10/2011] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [04:00:00 31/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 31/10/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 32 vu: ml t0: [05:00:00 31/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 31/10/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml t0: [06:00:00 31/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 31/10/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 29.2 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 29.2 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 28 u1: % rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.7 u1: gm/dl rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 99 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.19 u1: /mic l rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 29.2 rs: Final st: NotStopd
t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: PT el: 0 cu: MICU-A cg: 1663 v1: 12.8 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 37.3 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.8 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 37.3 rs: Final st: NotStopd
t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: BUN el: 0 cu: MICU-A cg: 1663 v1: 61 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.6 u1: mg/dl rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 100 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 79 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5 u1: mEq/L rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.3 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 134 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 9 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 88 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 587 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 61 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.6 u1: mg/dl rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 100 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 79 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 584 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5 u1: mEq/L rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.3 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 134 rs: Final st: NotStopd t0: [06:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18056 id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 9 rs: Final st: NotStopd
t0: [08:00:00 31/10/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 31/10/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 31/10/2011] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [08:00:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 31/10/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: Verbal st: NotStopd t0: [08:00:00 31/10/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 31/10/2011] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Weak st: NotStopd t0: [08:00:00 31/10/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 31/10/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 31/10/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 31/10/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 31/10/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [08:00:00 31/10/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 31/10/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General st: NotStopd t0: [08:00:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 31/10/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [08:00:00 31/10/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 31/10/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 31/10/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [08:00:00 31/10/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 31/10/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [08:00:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 31/10/2011] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [08:00:00 31/10/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 31/10/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 31/10/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 18 st: NotStopd t0: [08:00:00 31/10/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [08:00:00 31/10/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 31/10/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 31/10/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 31/10/2011] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 31/10/2011] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Edema/Swelling st: NotStopd t0: [08:00:00 31/10/2011] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 31/10/2011] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 31/10/2011] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [08:00:00 31/10/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [08:00:00 31/10/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 31/10/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 31/10/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 31/10/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Lethargic st: NotStopd t0: [08:00:00 31/10/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 31/10/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [08:00:00 31/10/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 51 u1: mmHg st: NotStopd t0: [08:00:00 31/10/2011] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Face Tent st: NotStopd t0: [08:00:00 31/10/2011] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 0.5 u1: lpm st: NotStopd t0: [08:00:00 31/10/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 31/10/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 1 st: NotStopd t0: [08:00:00 31/10/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Right Chest st: NotStopd t0: [08:00:00 31/10/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [08:00:00 31/10/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 31/10/2011] id: PressSoreWoundBase#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [08:00:00 31/10/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17943 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [08:00:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [08:00:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [08:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17943 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [08:00:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 31/10/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 31/10/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 31/10/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 31/10/2011] id: RLE/LLE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 31/10/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [08:00:00 31/10/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 31/10/2011] id: RUE/LUE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 31/10/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 31/10/2011] id: Respiratory Effort el: 0 cu: MICU-A cg: RN v1: Normal st: NotStopd t0: [08:00:00 31/10/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Tachypneic st: NotStopd t0: [08:00:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 32 u1: BPM st: NotStopd t0: [08:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17943 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 31/10/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 31/10/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 31/10/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [08:00:00 31/10/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 31/10/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 31/10/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Garbled st: NotStopd t0: [08:00:00 31/10/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17943 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 31/10/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 31/10/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [08:00:00 31/10/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [08:00:00 31/10/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [08:00:00 31/10/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [08:00:00 31/10/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Brown v2: Sediment st: NotStopd t0: [08:00:00 31/10/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 31/10/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [08:00:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17943 id: Behavior el: 0 cu: MICU-A cg: RN v1: Cooperative st: NotStopd t0: [08:00:00 31/10/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 31/10/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 31/10/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 31/10/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 31/10/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 31/10/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 31/10/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 13 u1: number st: NotStopd t0: [08:00:00 31/10/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 31/10/2011] id: CT #1 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [08:00:00 31/10/2011] id: CT #1 Drainage el: 0 cu: MICU-A cg: RN v1: Purulent st: NotStopd t0: [08:00:00 31/10/2011] id: CT #1 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 31/10/2011] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [08:00:00 31/10/2011] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd
t0: [08:00:00 31/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 31/10/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [08:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17943 id: BATH el: 0 cu: MICU-A cg: RN v1: DONE t0: [08:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17943 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17943 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: No st: NotStopd t0: [08:00:00 31/10/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Sanguinous v2: Small st: NotStopd t0: [08:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17943 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17943 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Dermagran st: NotStopd t0: [08:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17943 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [08:00:00 31/10/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 31/10/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [07:00:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 106 u1: BPM st: NotStopd t0: [07:00:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 31/10/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [07:00:00 31/10/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 52 u1: mmHg st: NotStopd t0: [07:00:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18003 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [09:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17883 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [07:00:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [07:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 18003 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [07:00:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 33 u1: BPM st: NotStopd t0: [07:00:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [07:00:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 106 u1: BPM st: NotStopd t0: [09:00:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 31/10/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [09:00:00 31/10/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 94.3333 u1: mmHg st: NotStopd t0: [09:00:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [09:00:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [09:00:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [09:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17883 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [09:00:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 31 u1: BPM st: NotStopd t0: [09:00:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [09:00:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 31/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml
t0: [09:00:00 31/10/2011] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml
tf: [14:00:00 12/11/2011] pt: IV Piggyback rt: IV fr: QD fs: 12 dn: 1 m1: Caspofungin v1: 35 u1: mg m2: NS v2: 250 u2: ml tf: [14:00:00 12/11/2011] pt: Unit Dose rt: PO fr: BID:PRN m1: Senna v1: 1 u1: TAB
t0: [10:07:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17816 id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
t0: [10:00:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [10:00:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 31/10/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [10:00:00 31/10/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 56.3333 u1: mmHg st: NotStopd t0: [10:00:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17823 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [10:00:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [10:00:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [10:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17823 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [10:00:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [10:00:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 31/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 31/10/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [11:00:00 31/10/2011] tf: [00:00:00 02/11/2011] dt: 2220 id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [11:00:00 31/10/2011] tf: [00:00:00 02/11/2011] dt: 2220 id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 31/10/2011] tf: [00:00:00 02/11/2011] dt: 2220 id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [11:00:00 31/10/2011] tf: [04:00:00 02/11/2011] dt: 2460 id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [11:00:00 31/10/2011] tf: [00:00:00 02/11/2011] dt: 2220 id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd
t0: [11:00:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [11:00:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 31/10/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [11:00:00 31/10/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 76.3333 u1: mmHg st: NotStopd t0: [11:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17763 id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [11:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17763 id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 4 u1: mmHg st: NotStopd t0: [11:00:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17763 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [11:15:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17748 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [11:00:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [11:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17763 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [11:00:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 32 u1: BPM st: NotStopd t0: [11:00:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:15:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:15:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:15:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:15:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:15:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:15:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:15:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [11:15:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:15:00 31/10/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [11:15:00 31/10/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 65.3333 u1: mmHg st: NotStopd t0: [11:15:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [11:15:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [11:15:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:15:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [11:15:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [11:15:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [11:15:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17748 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [11:15:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:15:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [11:15:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [11:15:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 31/10/2011] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 100 vu: ml
t0: [11:30:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:30:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:30:00 31/10/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:30:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:30:00 31/10/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [11:30:00 31/10/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:30:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:30:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [11:30:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [11:30:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [11:30:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:30:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17733 id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [11:30:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17733 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [11:30:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [11:30:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [11:30:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17733 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [11:30:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:30:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [11:30:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [11:30:00 31/10/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [11:30:00 31/10/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [11:30:00 31/10/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [11:30:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:30:00 31/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml
t0: [11:30:00 31/10/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
id: Levophed-k el: 100 cu: MICU-A cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions am: 4 du: mcgkgmin rt: IV Drip
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [12:00:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [12:00:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [12:00:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [12:00:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [12:00:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [12:00:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [12:00:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [12:00:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: Significant Events el: 0 cu: MICU-A cg: RN v1: Intubated st: NotStopd t0: [12:00:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RT v1: 26.087 u1: ml/cmH st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: ETT Mark/Location el: 0 cu: MICU-A cg: RT v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RT v1: 15 t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 1 u1: torr st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: I:E Ratio el: 0 cu: MICU-A cg: RT v1: 1:4 st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: Airway Size el: 0 cu: MICU-A cg: RT v1: 8.0 mm st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: Airway Type el: 0 cu: MICU-A cg: RT v1: Endotracheal st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT u1: Deg. C st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: Intubation Date el: 0 cu: MICU-A cg: RT v1: 9 v2: 20 st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 4.5 st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 7.3 u1: L/min st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: Apnea Time Interval el: 0 cu: MICU-A cg: RT v1: 20 st: NotStopd t0: [12:00:00 31/10/2011] tf: [07:00:00 01/11/2011] dt: 1140 id: Peak Flow el: 0 cu: MICU-A cg: RT u1: L/m st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 28 u1: cmH2O st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: Plateau Pressure el: 0 cu: MICU-A cg: RT v1: 21 u1: cmH2O st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RT v1: 0 u1: BPM st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 12 u1: BPM st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: Respiratory Rate Set el: 0 cu: MICU-A cg: RT v1: 12 u1: BPM st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: Sensitivity-Vent el: 0 cu: MICU-A cg: RT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RT v1: 620 u1: ml/B st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RT v1: 600 u1: ml/B st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: Assist Control st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: Drager st: NotStopd t0: [12:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17703 id: Waveform-Vent el: 0 cu: MICU-A cg: RT v1: RAMP st: NotStopd
t0: [12:00:00 31/10/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 123 rs: Manual st: NotStopd
t0: [12:00:00 31/10/2011] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml t0: [12:00:00 31/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 31/10/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [11:55:00 31/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 250 vu: ml
t0: [12:39:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17664 id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.32 rs: Final st: NotStopd t0: [12:39:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17664 id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [12:39:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17664 id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [12:39:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17664 id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 53 u1: mmHg rs: Final st: NotStopd t0: [12:39:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17664 id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 280 u1: mmHg rs: Final st: NotStopd t0: [12:39:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17664 id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.32 rs: Final st: NotStopd
t0: [13:00:00 31/10/2011] id: CT #1 Crepitus el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [13:00:00 31/10/2011] id: CT #1 Drainage el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [13:00:00 31/10/2011] id: CT #1 Dressing el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [13:00:00 31/10/2011] id: CT #1 Fluctuate/Leak el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [13:00:00 31/10/2011] id: CT #1 Suction Amount el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [12:30:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17643 id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:30:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:30:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:30:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:30:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:30:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [12:30:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [12:30:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:30:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [12:30:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:30:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17673 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [12:45:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17658 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [13:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17643 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [13:05:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17638 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [12:30:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17673 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [12:30:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:30:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [12:30:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:30:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:45:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:45:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:45:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:45:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:45:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [12:45:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [12:45:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [12:45:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:45:00 31/10/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [12:45:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [12:45:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [12:45:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [12:45:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17658 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [12:45:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:45:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:45:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [12:45:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17643 id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [13:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17643 id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [13:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17643 id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [13:00:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 31/10/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [13:00:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [13:00:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [13:00:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 47 u1: mmHg st: NotStopd t0: [13:00:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 31/10/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [13:00:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [13:00:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [13:00:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [13:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17643 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [13:00:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [13:00:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 31/10/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Plug st: NotStopd t0: [13:00:00 31/10/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [13:00:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17643 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [13:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17643 id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd t0: [13:05:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:05:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:05:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:05:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:05:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [13:05:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [13:05:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 47 u1: mmHg st: NotStopd t0: [13:05:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:05:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17638 id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [13:05:00 31/10/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [13:05:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [13:05:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [13:05:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [13:05:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17638 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [13:05:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:05:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [13:05:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [13:05:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 31/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 750 vu: ml
t0: [13:00:00 31/10/2011] tf: [17:30:00 02/11/2011] dt: 3150 id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.015 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:05:00 31/10/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:05:00 31/10/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.6 u1: torr st: NotStopd t0: [13:05:00 31/10/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RT v1: 16 u1: BPM st: NotStopd
t0: [12:45:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17658 id: Procedures el: 0 cu: MICU-A cg: RN v1: Chest Tube In st: NotStopd t0: [12:50:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17653 id: Procedures el: 0 cu: MICU-A cg: RN v1: Chest Tube D/C st: NotStopd t0: [13:05:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17638 id: Procedures el: 0 cu: MICU-A cg: RN v1: Cardiac Echo st: NotStopd t0: [13:10:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:10:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:10:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:10:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:10:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [13:10:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [13:10:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg st: NotStopd t0: [13:10:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:10:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17633 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [13:20:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17623 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [13:30:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17613 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [13:10:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [13:10:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17633 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [13:10:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:10:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [13:10:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [13:10:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [13:20:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:20:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:20:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:20:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:20:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [13:20:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [13:20:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [13:20:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:20:00 31/10/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [13:20:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [13:20:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [13:20:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [13:20:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17623 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [13:20:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:20:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:20:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [13:20:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [13:25:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17618 id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [13:30:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:30:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:30:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:30:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:30:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [13:30:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [13:30:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [13:30:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:30:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17613 id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [13:30:00 31/10/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [13:30:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [13:30:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [13:30:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [13:30:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17613 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [13:30:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:30:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17613 id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [13:30:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [13:30:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [13:30:00 31/10/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [13:30:00 31/10/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [13:30:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:10:00 31/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 750 vu: ml t0: [13:30:00 31/10/2011] id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 0 vu: ml nb: 1
t0: [13:10:00 31/10/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:20:00 31/10/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:30:00 31/10/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:45:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:45:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:45:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:45:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:45:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [13:45:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [13:45:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 51 u1: mmHg st: NotStopd t0: [13:45:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:45:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17598 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [13:45:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [13:45:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [13:45:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [13:45:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17598 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [13:45:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:45:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [13:45:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [13:45:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:30:00 31/10/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 0 vu: ml
t0: [14:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17583 id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [14:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17583 id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [14:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17583 id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd
tf: [11:00:00 01/11/2011] pt: IV Piggyback rt: IV fr: Q24H fs: 14 dn: 1 m1: Ambisome v1: 400 u1: mg m2: D5W v2: 200 u2: ml tf: [14:00:00 12/11/2011] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Fentanyl Citrate v1: 2500 u1: mcg m2: D5W v2: 250 u2: ml tf: [14:00:00 12/11/2011] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Midazolam HCl v1: 50 u1: mg m2: D5W v2: 50 u2: ml
t0: [14:00:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [14:00:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [14:00:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17583 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [14:00:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [14:00:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [14:00:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [14:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17583 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [14:00:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [14:00:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:30:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:30:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:30:00 31/10/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN st: NotStopd t0: [14:30:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:30:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:30:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:30:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:30:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [14:30:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:30:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:30:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [14:30:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:30:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17553 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [14:30:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [14:30:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [14:30:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [14:30:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17553 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [14:30:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:30:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17553 id: Procedures el: 0 cu: MICU-A cg: RN v1: Bronchoscopy st: NotStopd t0: [14:30:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [14:30:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [14:30:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:31:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:31:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:31:00 31/10/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN st: NotStopd t0: [14:31:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:31:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:31:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:31:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:31:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [14:31:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:31:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [14:31:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg st: NotStopd t0: [14:31:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:31:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17552 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [14:31:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [14:31:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [14:31:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [14:31:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17552 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [14:31:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:31:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [14:31:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [14:31:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:35:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17548 id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd
t0: [14:31:00 31/10/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0749064 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 31/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.33333 vu: ml t0: [14:00:00 31/10/2011] tf: [16:00:00 08/11/2011] dt: 11640 id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [13:00:00 31/10/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [15:00:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [15:00:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [15:00:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [15:00:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17523 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [15:00:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [15:00:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [15:00:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [15:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17523 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [15:00:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [15:00:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 31/10/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [15:00:00 31/10/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [15:00:00 31/10/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [15:00:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 31/10/2011] tf: [14:00:00 03/11/2011] dt: 4260 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml nb: 1 t0: [15:00:00 31/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17523 id: Packed RBC's IV Infusions el: 1 cu: MICU-A cg: RN ai: 155 vo: 375 vu: ml t0: [15:00:00 31/10/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 41.6797 vu: ml t0: [15:00:00 31/10/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 35 vu: ml
id: Fentanyl el: 100 cu: MICU-A cg: RN io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions am: 2500 du: mcghr rt: IV Drip id: Midazolam el: 100 cu: MICU-A cg: RN io: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions am: 50 du: mghr rt: IV Drip
tf: [22:00:00 10/11/2011] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Norepinephrine v1: 4 u1: mg m2: D5W v2: 250 u2: ml
id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions vo: 250 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: MICU-A cg: RN io: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [15:30:00 31/10/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.4 u1: torr st: NotStopd
t0: [15:00:00 31/10/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [15:00:00 31/10/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [16:00:00 31/10/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [16:00:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 31/10/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [16:00:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 31/10/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 31/10/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 31/10/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 31/10/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 31/10/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [16:00:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 31/10/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 31/10/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 31/10/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 31/10/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 31/10/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 31/10/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 31/10/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [16:00:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [16:00:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 56 u1: mmHg st: NotStopd t0: [16:00:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17463 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [16:00:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [16:00:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [16:00:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [16:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17463 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [16:00:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 31/10/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 31/10/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 31/10/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 31/10/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17463 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [16:00:00 31/10/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 31/10/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 31/10/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [16:00:00 31/10/2011] tf: [01:00:00 03/11/2011] dt: 3420 id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 31/10/2011] tf: [01:00:00 03/11/2011] dt: 3420 id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [16:00:00 31/10/2011] id: Chest Tube Site #1 el: 0 cu: MICU-A cg: -1 st: D/C'd
tf: [09:00:00 05/11/2011] pt: Unit Dose rt: SC fr: TID fs: 08, 16, 22 dn: 3 m1: Heparin v1: 5000 u1: UNIT
id: D5W el: 2 cu: MICU-A cg: RN io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [16:02:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17461 id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [16:02:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17461 id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 rs: Final st: NotStopd t0: [16:02:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17461 id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [16:02:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17461 id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [16:02:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17461 id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [16:02:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17461 id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 69 u1: mmHg rs: Final st: NotStopd t0: [16:02:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17461 id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.45 rs: Final st: NotStopd t0: [16:02:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17461 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.3 rs: Final st: NotStopd
t0: [08:00:00 31/10/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [15:00:00 31/10/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 31/10/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 31/10/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17523 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17523 id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [16:00:00 31/10/2011] tf: [17:00:00 09/11/2011] dt: 13020 id: Position Change el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [15:00:00 31/10/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 31/10/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 31/10/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [15:00:00 31/10/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 31/10/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 31/10/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 31/10/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [16:00:00 31/10/2011] tf: [17:00:00 09/11/2011] dt: 13020 id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [16:00:00 31/10/2011] tf: [17:00:00 09/11/2011] dt: 13020 id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 31/10/2011] tf: [17:00:00 09/11/2011] dt: 13020 id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 31/10/2011] id: Cough Effort el: 0 cu: MICU-A cg: RN v1: Weak st: NotStopd t0: [16:00:00 31/10/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 31/10/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [16:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17463 id: Education Barrier el: 0 cu: MICU-A cg: RN v1: General st: NotStopd t0: [16:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17463 id: Education Handout el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17463 id: Education Learner el: 0 cu: MICU-A cg: RN v1: Not Given st: NotStopd t0: [16:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17463 id: Education Method el: 0 cu: MICU-A cg: RN v1: Patient/Sig Othr st: NotStopd t0: [16:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17463 id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Explanation st: NotStopd t0: [16:00:00 31/10/2011] id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17463 id: Education Response el: 0 cu: MICU-A cg: RN v1: Understands st: NotStopd t0: [16:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17463 id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [16:00:00 31/10/2011] id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: ICU Environment st: NotStopd t0: [16:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17463 id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 31/10/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 31/10/2011] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [16:00:00 31/10/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 31/10/2011] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 31/10/2011] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 31/10/2011] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [16:00:00 31/10/2011] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 31/10/2011] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 31/10/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [16:00:00 31/10/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 31/10/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [16:00:00 31/10/2011] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 31/10/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 18 st: NotStopd t0: [16:00:00 31/10/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [16:00:00 31/10/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 31/10/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [16:00:00 31/10/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [16:00:00 31/10/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 31/10/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 31/10/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 31/10/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [16:00:00 31/10/2011] tf: [17:00:00 09/11/2011] dt: 13020 id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 31/10/2011] tf: [17:00:00 09/11/2011] dt: 13020 id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 31/10/2011] id: Respiratory Effort el: 0 cu: MICU-A cg: RN v1: Normal st: NotStopd t0: [16:00:00 31/10/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 31/10/2011] tf: [17:00:00 09/11/2011] dt: 13020 id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 31/10/2011] tf: [17:00:00 09/11/2011] dt: 13020 id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17463 id: Restraint Location el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 31/10/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 31/10/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 31/10/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 31/10/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 31/10/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17463 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 31/10/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Brown v2: Cloudy st: NotStopd t0: [16:00:00 31/10/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [16:00:00 31/10/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 31/10/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [16:00:00 31/10/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 31/10/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 31/10/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [16:00:00 31/10/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [16:00:00 31/10/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17463 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [16:00:00 31/10/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [15:51:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17472 id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 29.5 u1: % rs: Final st: NotStopd
t0: [16:25:00 31/10/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RT v1: 30 u1: ml/cmH st: NotStopd t0: [16:25:00 31/10/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RT v1: 23cm v2: Lip st: NotStopd t0: [16:25:00 31/10/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RT v1: 20 t0: [16:25:00 31/10/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RT v1: 0.5 u1: torr st: NotStopd t0: [16:25:00 31/10/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 40 u1: cmH2O st: NotStopd t0: [16:25:00 31/10/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RT v1: 10 u1: BPM st: NotStopd t0: [16:25:00 31/10/2011] id: Airway Size el: 0 cu: MICU-A cg: RT v1: 8.0 mm st: NotStopd t0: [16:25:00 31/10/2011] id: Airway Type el: 0 cu: MICU-A cg: RT v1: Endotracheal st: NotStopd t0: [16:25:00 31/10/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RT u1: Deg. C st: NotStopd t0: [16:25:00 31/10/2011] id: Intubation Date el: 0 cu: MICU-A cg: RT v1: 9 v2: 20 st: NotStopd t0: [16:25:00 31/10/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RT v1: 4.5 st: NotStopd t0: [16:25:00 31/10/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [16:25:00 31/10/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RT v1: 9.6 u1: L/min st: NotStopd t0: [16:25:00 31/10/2011] id: PEEP Set el: 0 cu: MICU-A cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [16:25:00 31/10/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RT v1: 20 st: NotStopd t0: [16:25:00 31/10/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RT v1: 25 u1: cmH2O st: NotStopd t0: [16:25:00 31/10/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RT v1: 18 u1: cmH2O st: NotStopd t0: [16:25:00 31/10/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RT v1: 1 u1: BPM st: NotStopd t0: [16:25:00 31/10/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RT v1: 17 u1: BPM st: NotStopd t0: [16:25:00 31/10/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RT v1: 16 u1: BPM st: NotStopd t0: [16:25:00 31/10/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RT v1: 3 u1: cmH2O st: NotStopd t0: [16:25:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RT v1: 96 u1: % st: NotStopd t0: [16:25:00 31/10/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RT v1: 575 u1: ml/B st: NotStopd t0: [16:25:00 31/10/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RT v1: 600 u1: ml/B st: NotStopd t0: [16:25:00 31/10/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RT v1: Assist Control st: NotStopd t0: [16:25:00 31/10/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RT v1: Drager st: NotStopd t0: [16:25:00 31/10/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RT v1: RAMP st: NotStopd
t0: [16:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17463 id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [16:30:00 31/10/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd
t0: [16:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17463 id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml t0: [16:00:00 31/10/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 200 vu: ml t0: [16:00:00 31/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 31/10/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 25 vu: ml
t0: [16:30:00 31/10/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:30:00 31/10/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [13:45:00 31/10/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 31/10/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:30:00 31/10/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 31/10/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 31/10/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [15:51:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17472 id: BUN el: 0 cu: MICU-A cg: 1663 v1: 59 rs: Final st: NotStopd t0: [15:51:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17472 id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.1 u1: mg/dl rs: Final st: NotStopd t0: [15:51:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17472 id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 102 rs: Final st: NotStopd t0: [15:51:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17472 id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [15:51:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17472 id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 111 rs: Final st: NotStopd t0: [15:51:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17472 id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.7 rs: Final st: NotStopd t0: [15:51:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17472 id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.5 u1: mEq/L rs: Final st: NotStopd t0: [15:51:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17472 id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.1 rs: Final st: NotStopd t0: [15:51:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17472 id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 135 rs: Final st: NotStopd t0: [15:51:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17472 id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 59 rs: Final st: NotStopd t0: [15:51:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17472 id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.1 u1: mg/dl rs: Final st: NotStopd t0: [15:51:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17472 id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 21 rs: Final st: NotStopd t0: [15:51:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17472 id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 102 rs: Final st: NotStopd t0: [15:51:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17472 id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [15:51:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17472 id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 111 rs: Final st: NotStopd t0: [15:51:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17472 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.7 rs: Final st: NotStopd t0: [15:51:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17472 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.5 u1: mEq/L rs: Final st: NotStopd t0: [15:51:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17472 id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.1 rs: Final st: NotStopd t0: [15:51:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17472 id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 135 rs: Final st: NotStopd
t0: [17:00:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 31/10/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [17:00:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [17:00:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [17:00:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [17:00:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [17:00:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 56 u1: mmHg st: NotStopd t0: [17:00:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17403 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [17:00:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [17:00:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [17:00:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [17:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17403 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [17:00:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:00:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 31/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 31/10/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 30.0375 vu: ml
t0: [17:00:00 31/10/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 31/10/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 31/10/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [17:00:00 31/10/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [18:00:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [18:00:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [18:00:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [18:00:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [18:00:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17343 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [18:00:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [18:00:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [18:00:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [18:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17343 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [18:00:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17343 id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: CT scan st: NotStopd t0: [18:00:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [18:00:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 31/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 31/10/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 30.0375 vu: ml
t0: [18:00:00 31/10/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 31/10/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 31/10/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [18:14:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17329 id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
t0: [19:00:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [19:00:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [19:00:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 31/10/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [19:00:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [19:00:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 31/10/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [19:00:00 31/10/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [19:00:00 31/10/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [19:00:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [19:00:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [19:00:00 31/10/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [19:00:00 31/10/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [19:00:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17283 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [19:00:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 140 u2: BPM st: NotStopd t0: [19:00:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 140 u2: mmHg st: NotStopd t0: [19:00:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [19:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17283 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [19:00:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [19:00:00 31/10/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [19:00:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 31/10/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [19:00:00 31/10/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [19:00:00 31/10/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [19:00:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 31/10/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 31/10/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 31/10/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 31/10/2011] id: Cough Effort el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 31/10/2011] id: Cough Type el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 31/10/2011] id: Respiratory Effort el: 0 cu: MICU-A cg: -1 st: D/C'd
io: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ra: 100 ru: ml/hr io: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ra: 10 ru: ml/hr
tf: [14:00:00 12/11/2011] pt: Unit Dose rt: PO fr: BID fs: 08, 20 dn: 2 m1: Docusate Sodium (Liquid) v1: 100 u1: mg
id: Promote w/fiber el: 1 cu: MICU-A cg: RN io: Promote w/fiber Tube Feeding du: str rt: Gastric/Feeding Tube id: Packed RBC's el: 1 cu: MICU-A cg: RN io: Packed RBC's 400.0ml IV Infusions vo: 400 du: ml rt: Intravenous Push id: ProBalance el: 1 cu: MICU-A cg: RN io: ProBalance Tube Feeding du: str rt: Gastric/Feeding Tube id: TF Residual el: 1 cu: MICU-A cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [19:00:00 31/10/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [19:00:00 31/10/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [19:00:00 31/10/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [19:00:00 31/10/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General st: NotStopd t0: [19:00:00 31/10/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [19:00:00 31/10/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [20:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17223 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17223 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [19:00:00 31/10/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [19:00:00 31/10/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17223 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [19:00:00 31/10/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [19:00:00 31/10/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [19:00:00 31/10/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [19:00:00 31/10/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [19:00:00 31/10/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [19:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17283 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 31/10/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 31/10/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 31/10/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [20:00:00 31/10/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17223 id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 31/10/2011] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 31/10/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [20:00:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 31/10/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 31/10/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 31/10/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17223 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/O2 Issues st: NotStopd t0: [20:00:00 31/10/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17223 id: IV #1 Reason DC'D el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 31/10/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 31/10/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [20:00:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [20:00:00 31/10/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [20:00:00 31/10/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 31/10/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [20:00:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 31/10/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [20:00:00 31/10/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 31/10/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 31/10/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 31/10/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [20:00:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 31/10/2011] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [20:00:00 31/10/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 31/10/2011] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 31/10/2011] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 31/10/2011] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [20:00:00 31/10/2011] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 31/10/2011] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 31/10/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [20:00:00 31/10/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 31/10/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [20:00:00 31/10/2011] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17223 id: IV #1 D/C Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [20:00:00 31/10/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 18 st: NotStopd t0: [20:00:00 31/10/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Antecub v2: 20 gauge st: NotStopd t0: [20:00:00 31/10/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 31/10/2011] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [20:00:00 31/10/2011] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Edema/Swelling st: NotStopd t0: [20:00:00 31/10/2011] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 31/10/2011] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 31/10/2011] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [20:00:00 31/10/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [20:00:00 31/10/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 31/10/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 31/10/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 31/10/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 31/10/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 31/10/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 31/10/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [20:00:00 31/10/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [20:00:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [20:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17223 id: Pain Management el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 31/10/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [20:00:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [20:00:00 31/10/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17223 id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17223 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: Other/Remarks st: NotStopd t0: [20:00:00 31/10/2011] id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: 0.5 cm st: NotStopd t0: [20:00:00 31/10/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Serosanguinous v2: Small st: NotStopd t0: [20:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17223 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [20:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17223 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 31/10/2011] id: PressSoreWoundBase#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [20:00:00 31/10/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [20:00:00 31/10/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17223 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [20:00:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [20:00:00 31/10/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN u1: mmHg u2: mmHg st: NotStopd t0: [20:00:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [20:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17223 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [20:00:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 31/10/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 31/10/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 31/10/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 31/10/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 31/10/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 31/10/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 31/10/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 31/10/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 31/10/2011] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [20:00:00 31/10/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 31/10/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 31/10/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 31/10/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 31/10/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 31/10/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 31/10/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 31/10/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 31/10/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 31/10/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 31/10/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17223 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 31/10/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [20:00:00 31/10/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [20:00:00 31/10/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [20:00:00 31/10/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Brown v2: Cloudy st: NotStopd t0: [20:00:00 31/10/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 31/10/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17223 id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 31/10/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 159 rs: Manual st: NotStopd t0: [20:00:00 31/10/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 31/10/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 31/10/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 31/10/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 31/10/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 31/10/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 31/10/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 31/10/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17223 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [20:00:00 31/10/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [20:00:00 31/10/2011] tf: [02:00:00 03/11/2011] dt: 3240 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [20:00:00 31/10/2011] tf: [02:00:00 03/11/2011] dt: 3240 id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 0 vu: ml nb: 1 t0: [20:00:00 31/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 31/10/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 63.4125 vu: ml t0: [20:00:00 31/10/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 31/10/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml t0: [20:00:00 31/10/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [20:00:00 31/10/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 31/10/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 31/10/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [20:30:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:30:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:30:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:30:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [20:30:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [20:30:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:30:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [20:30:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:30:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [20:30:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [20:30:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:30:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17193 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [20:30:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [20:30:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [20:30:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17193 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [20:30:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:30:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [20:30:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [20:30:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:32:00 31/10/2011] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [20:32:00 31/10/2011] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 90 u1: kg t0: [20:32:00 31/10/2011] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [20:32:00 31/10/2011] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: FUNGAL PNEUMONIA t0: [20:32:00 31/10/2011] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [20:32:00 31/10/2011] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [20:32:00 31/10/2011] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [20:32:00 31/10/2011] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: M t0: [20:32:00 31/10/2011] id: Religion el: 1000 cu: MICU-A cg: -1 v1: RCA t0: [20:32:00 31/10/2011] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [20:32:00 31/10/2011] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [20:32:00 31/10/2011] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [20:32:00 31/10/2011] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [20:30:00 31/10/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:30:00 31/10/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:30:00 31/10/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [21:00:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 31/10/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [21:00:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [21:00:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [21:00:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [21:00:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [21:00:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [21:00:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17163 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [21:00:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [21:00:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [21:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17163 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [21:00:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [21:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17163 id: Significant Events el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [21:00:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [21:00:00 31/10/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [21:00:00 31/10/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [21:00:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 31/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 31/10/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 0 vu: ml nb: 1 t0: [21:00:00 31/10/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 26.7 vu: ml t0: [21:00:00 31/10/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 31/10/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 10 vu: ml t0: [21:00:00 31/10/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [21:00:00 31/10/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 31/10/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 31/10/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [21:00:00 31/10/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 0 vu: ml nb: 1
t0: [20:00:00 31/10/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 31.5789 u1: ml/cmH st: NotStopd t0: [20:00:00 31/10/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 31/10/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 20 t0: [20:00:00 31/10/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 31/10/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 31/10/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 31/10/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 31/10/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 31/10/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [20:00:00 31/10/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [20:00:00 31/10/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [20:00:00 31/10/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 31/10/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.8 u1: L/min st: NotStopd t0: [20:00:00 31/10/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 31/10/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:00:00 31/10/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [20:00:00 31/10/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [20:00:00 31/10/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 1 u1: BPM st: NotStopd t0: [20:00:00 31/10/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 17 u1: BPM st: NotStopd t0: [20:00:00 31/10/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:00:00 31/10/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 31/10/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 525 u1: ml/B st: NotStopd t0: [20:00:00 31/10/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [20:00:00 31/10/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 31/10/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [20:00:00 31/10/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
id: Normal Saline_GU el: 1 cu: MICU-A cg: RN io: Normal Saline_GU GU Irrigant du: cc rt: GU
t0: [21:00:00 31/10/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [21:15:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:15:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:15:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:15:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [21:15:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [21:15:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:15:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [21:15:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:15:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [21:15:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [21:15:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:15:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17148 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [22:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17103 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [21:15:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [21:15:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17148 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [21:15:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:15:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:15:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [21:15:00 31/10/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [21:15:00 31/10/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.3889 u1: Deg. C st: NotStopd t0: [21:15:00 31/10/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 95.7 u1: Deg. F st: NotStopd t0: [21:15:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 31/10/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [22:00:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 31/10/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [22:00:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 31/10/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [22:00:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 31/10/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [22:00:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [22:00:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [22:00:00 31/10/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [22:00:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 31/10/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [22:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17103 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [22:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17103 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [22:00:00 31/10/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [22:00:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 31/10/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 31/10/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [22:00:00 31/10/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [22:00:00 31/10/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [22:00:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:00:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [22:00:00 31/10/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [22:00:00 31/10/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 31/10/2011] id: PressSoreWoundBase#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [22:00:00 31/10/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [22:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17103 id: Previous Weight el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [22:00:00 31/10/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [22:00:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [22:00:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [22:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17103 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [22:00:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17103 id: Procedures el: 0 cu: MICU-A cg: RN v1: Culture/remarks st: NotStopd t0: [22:00:00 31/10/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 31/10/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [22:00:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:00:00 31/10/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 31/10/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 31/10/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 31/10/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17103 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [22:00:00 31/10/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [22:00:00 31/10/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.2222 u1: Deg. C st: NotStopd t0: [22:00:00 31/10/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 95.4 u1: Deg. F st: NotStopd t0: [22:00:00 31/10/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [22:00:00 31/10/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 31/10/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 31/10/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [22:00:00 31/10/2011] tf: [09:00:00 05/11/2011] dt: 6420 id: Bladder Irrigation el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 31/10/2011] id: Bladder Irrigation el: 0 cu: MICU-A cg: RN v1: Continuous Irrig st: NotStopd
t0: [22:00:00 31/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 31/10/2011] tf: [00:30:00 01/11/2011] dt: 150 id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 100 vu: ml t0: [22:00:00 31/10/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 30.375 vu: ml t0: [22:00:00 31/10/2011] tf: [11:00:00 01/11/2011] dt: 780 id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 10 vu: ml t0: [22:00:00 31/10/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 31/10/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [21:15:00 31/10/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:15:00 31/10/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:15:00 31/10/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 31/10/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 31/10/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 31/10/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 31/10/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [23:00:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [23:00:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [23:00:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [23:00:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [23:00:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [23:00:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17043 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [23:00:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [23:00:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [23:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17043 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [23:00:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 31/10/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [23:00:00 31/10/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.9444 u1: Deg. C st: NotStopd t0: [23:00:00 31/10/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.7 u1: Deg. F st: NotStopd t0: [23:00:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 31/10/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [23:00:00 31/10/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 31/10/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 100 vu: ml t0: [23:00:00 31/10/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 30.375 vu: ml t0: [23:00:00 31/10/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 10 vu: ml t0: [23:00:00 31/10/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 31/10/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [23:00:00 31/10/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 31/10/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 31/10/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 31/10/2011] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 10 cv: 20 ap: none t0: [23:00:00 31/10/2011] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: RN pv: 100 cv: 575 ap: none
t0: [23:15:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:15:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17028 id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [23:15:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:15:00 31/10/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [23:15:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:15:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [23:15:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [23:15:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:15:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [23:15:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:15:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [23:15:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [23:15:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:15:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17028 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [23:15:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [23:15:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [23:15:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17028 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [23:15:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:15:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:15:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [23:15:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:15:00 31/10/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:15:00 31/10/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:15:00 31/10/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:19:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17024 id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.5 rs: Final st: NotStopd t0: [23:19:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17024 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.5 rs: Final st: NotStopd
t0: [23:30:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:30:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:30:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:30:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [23:30:00 31/10/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [23:30:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:30:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [23:30:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:30:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [23:30:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [23:30:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:30:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17013 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [23:30:00 31/10/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [23:30:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [23:30:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17013 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [23:30:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:30:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:30:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17013 id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [23:30:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:30:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:30:00 31/10/2011] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 500 vu: ml
t0: [23:30:00 31/10/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:30:00 31/10/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:30:00 31/10/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [00:17:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16966 id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [00:17:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16966 id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [00:17:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16966 id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [00:17:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16966 id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [00:17:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16966 id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [00:17:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16966 id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 93 u1: mmHg rs: Final st: NotStopd t0: [00:17:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16966 id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.43 rs: Final st: NotStopd t0: [00:17:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16966 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd
t0: [22:00:00 31/10/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [22:00:00 31/10/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 31/10/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16983 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 31/10/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16983 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [23:00:00 31/10/2011] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [23:00:00 31/10/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [23:00:00 31/10/2011] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [23:00:00 31/10/2011] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 31/10/2011] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [23:00:00 31/10/2011] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [23:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17043 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [23:00:00 31/10/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 31/10/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [23:00:00 31/10/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [23:00:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17043 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [23:00:00 31/10/2011] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [23:30:00 31/10/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [23:30:00 31/10/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [23:45:00 31/10/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:45:00 31/10/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:45:00 31/10/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [23:45:00 31/10/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:45:00 31/10/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [00:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16983 id: Education Barrier el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [23:45:00 31/10/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [23:45:00 31/10/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:45:00 31/10/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:45:00 31/10/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [23:45:00 31/10/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:45:00 31/10/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [23:45:00 31/10/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [23:45:00 31/10/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:45:00 31/10/2011] tf: [21:00:00 08/11/2011] dt: 11355 id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [23:45:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 16998 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [00:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16983 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [23:45:00 31/10/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [23:45:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 16998 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [23:45:00 31/10/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:45:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 16998 id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [23:45:00 31/10/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:45:00 31/10/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [23:45:00 31/10/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [23:45:00 31/10/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.6111 u1: Deg. C st: NotStopd t0: [23:45:00 31/10/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.1 u1: Deg. F st: NotStopd t0: [23:45:00 31/10/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 01/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 01/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 01/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [00:00:00 01/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 01/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 01/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16983 id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [00:00:00 01/11/2011] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 01/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [00:00:00 01/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [00:00:00 01/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 01/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 01/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 01/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16983 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/O2 Issues st: NotStopd t0: [00:00:00 01/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 01/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 01/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16983 id: Education Learner el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 01/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [00:00:00 01/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16983 id: Education Method el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [00:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16983 id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 01/11/2011] id: Education Learner el: 0 cu: MICU-A cg: RN v1: Patient/Family st: NotStopd t0: [00:00:00 01/11/2011] id: Education Method el: 0 cu: MICU-A cg: RN v1: Deferred st: NotStopd t0: [00:00:00 01/11/2011] id: Education Readiness el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 01/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [00:00:00 01/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 01/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 01/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16983 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [00:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16983 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [00:00:00 01/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [00:00:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 01/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [00:00:00 01/11/2011] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Edema/Swelling st: NotStopd t0: [00:00:00 01/11/2011] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 01/11/2011] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [00:00:00 01/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [00:00:00 01/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 01/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 01/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 01/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 01/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 01/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 01/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [00:00:00 01/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [00:00:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [00:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16983 id: Pain Management el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 01/11/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [00:00:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [00:00:00 01/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 01/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16983 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 01/11/2011] id: PressSoreWoundBase#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [00:00:00 01/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 01/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [00:00:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [00:00:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [00:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16983 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [00:00:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 01/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 01/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 01/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 01/11/2011] id: RLE/LLE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [00:00:00 01/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 01/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 01/11/2011] id: RUE/LUE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [00:00:00 01/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 01/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 01/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 01/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [00:00:00 01/11/2011] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:00:00 01/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 01/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 01/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 01/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 01/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 01/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 01/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 01/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [00:00:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 01/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 01/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16983 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 01/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 01/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [00:00:00 01/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 01/11/2011] id: Bladder Irrigation el: 0 cu: MICU-A cg: RN v1: Continuous Irrig st: NotStopd t0: [00:00:00 01/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 176 rs: Manual st: NotStopd t0: [00:00:00 01/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16983 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [00:00:00 01/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [22:00:00 31/10/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 40 vu: ml t0: [00:00:00 01/11/2011] tf: [08:00:00 03/11/2011] dt: 3360 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 5 vu: ml t0: [00:00:00 01/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 01/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 100 vu: ml t0: [00:00:00 01/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 30.375 vu: ml t0: [00:00:00 01/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 10 vu: ml t0: [00:00:00 01/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 01/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [23:45:00 31/10/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:45:00 31/10/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:45:00 31/10/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 31/10/2011] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU-A cg: RN cv: 40 ap: none
t0: [00:30:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:30:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:30:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:30:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [00:30:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [00:30:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:30:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [00:30:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:30:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [00:30:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [00:30:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:30:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16953 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [00:30:00 01/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [00:30:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [00:30:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [00:30:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16953 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [00:30:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:30:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:30:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [00:30:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:30:00 01/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 50 vu: ml st: Stopped
t0: [00:30:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:30:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:30:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 01/11/2011] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: RN pv: 100 cv: 1200 ap: none
t0: [00:00:00 01/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 23.0769 u1: ml/cmH st: NotStopd t0: [00:00:00 01/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 01/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 20 t0: [00:00:00 01/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 01/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 01/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 01/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.2 st: NotStopd t0: [00:00:00 01/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 01/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 01/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [00:00:00 01/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [00:00:00 01/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [00:00:00 01/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [00:00:00 01/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.1 u1: L/min st: NotStopd t0: [00:00:00 01/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 01/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [00:00:00 01/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [00:00:00 01/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [00:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16983 id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [00:00:00 01/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 3 u1: BPM st: NotStopd t0: [00:00:00 01/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:00:00 01/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [00:00:00 01/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 01/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 603 u1: ml/B st: NotStopd t0: [00:00:00 01/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:00:00 01/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 01/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [00:00:00 01/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 01/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [00:00:00 01/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.6111 u1: Deg. C st: NotStopd t0: [00:00:00 01/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.1 u1: Deg. F st: NotStopd t0: [01:00:00 01/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Reinforced st: NotStopd t0: [01:00:00 01/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [01:00:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 01/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [01:00:00 01/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [01:00:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 01/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [01:00:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 01/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [01:00:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [01:00:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [01:00:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16923 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [01:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16923 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [01:00:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [01:00:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [01:00:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg st: NotStopd t0: [01:00:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16923 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [01:00:00 01/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [01:00:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [01:00:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [01:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16923 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [01:00:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 01/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [01:00:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 01/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [01:00:00 01/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [01:00:00 01/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [01:00:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16923 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [01:30:00 01/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [01:30:00 01/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:30:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16893 id: BATH el: 0 cu: MICU-A cg: RN v1: done t0: [01:30:00 01/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [01:30:00 01/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [01:30:00 01/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [01:30:00 01/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [01:30:00 01/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [01:30:00 01/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [01:30:00 01/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [01:30:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16893 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:30:00 01/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [01:30:00 01/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [01:30:00 01/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:30:00 01/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [01:30:00 01/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [01:30:00 01/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [01:30:00 01/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:30:00 01/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [01:30:00 01/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [01:30:00 01/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [01:30:00 01/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [01:30:00 01/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:30:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16893 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [01:30:00 01/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [01:30:00 01/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [01:30:00 01/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [01:00:00 01/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 01/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 30.375 vu: ml t0: [01:00:00 01/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 20 vu: ml t0: [01:00:00 01/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 01/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [01:00:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
tf: [14:00:00 12/11/2011] pt: Unit Dose rt: TP fr: TID:PRN m1: Miconazole Powder 2% v1: 1 u1: Appl
t0: [01:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16923 id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Loose st: NotStopd t0: [01:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16923 id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [01:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16923 id: Stool Management el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [01:00:00 01/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [01:00:00 01/11/2011] id: Bladder Irrigation el: 0 cu: MICU-A cg: RN v1: Continuous Irrig st: NotStopd t0: [02:00:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 01/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [02:00:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 01/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [02:00:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [02:00:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [02:00:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [02:00:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [02:00:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [02:00:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16863 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [02:00:00 01/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [02:00:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [02:00:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [02:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16863 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [02:00:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16863 id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [02:00:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 31/10/2011] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [02:00:00 01/11/2011] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [02:00:00 01/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 01/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 30.375 vu: ml t0: [02:00:00 01/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 20 vu: ml t0: [02:00:00 01/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 01/11/2011] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Small t0: [02:00:00 01/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 250 vu: ml t0: [02:00:00 01/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [02:00:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 01/11/2011] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 0 ap: carryForward
t0: [15:51:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17472 id: Total Protein Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.9 rs: Final st: NotStopd t0: [15:51:00 31/10/2011] tf: [19:03:00 12/11/2011] dt: 17472 id: Total Protein(6.5-8) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.9 rs: Final st: NotStopd
t0: [03:00:00 01/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [03:00:00 01/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 01/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [03:00:00 01/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [03:00:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 01/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [03:00:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [03:00:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [03:00:00 01/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [03:00:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 01/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [03:00:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [03:00:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 01/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [03:00:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [03:00:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [03:00:00 01/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 01/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [03:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16803 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [03:00:00 01/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [03:00:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [03:00:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [03:00:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 01/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [03:00:00 01/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [03:00:00 01/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [03:00:00 01/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [03:00:00 01/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [03:00:00 01/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16803 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [03:00:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 01/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 01/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 30.375 vu: ml t0: [03:00:00 01/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 20 vu: ml t0: [03:00:00 01/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 01/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [03:00:00 01/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [03:00:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 01/11/2011] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 120 cv: 120 ap: none t0: [23:00:00 01/11/2011] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 75 cv: 75 ap: none t0: [23:00:00 01/11/2011] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 45 cv: 2728.81 ap: none t0: [23:00:00 01/11/2011] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 195 cv: 4518.81 ap: none t0: [23:00:00 01/11/2011] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 50 cv: 590 ap: none t0: [23:00:00 01/11/2011] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 120 cv: 1710 ap: none t0: [23:00:00 01/11/2011] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 75 cv: 2508.81 ap: carryForward t0: [23:00:00 01/11/2011] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 120 cv: 2010 ap: carryForward t0: [23:00:00 01/11/2011] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 75 cv: 6422.76 ap: carryForward
t0: [04:00:00 01/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 30 u1: ml/cmH st: NotStopd t0: [04:00:00 01/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 01/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 14.5 t0: [04:00:00 01/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 01/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 01/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 01/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.2 st: NotStopd t0: [04:00:00 01/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 01/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 01/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [04:00:00 01/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [04:00:00 01/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [04:00:00 01/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 01/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.3 u1: L/min st: NotStopd t0: [04:00:00 01/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 01/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [04:00:00 01/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [04:00:00 01/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [04:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16743 id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [04:00:00 01/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 1 u1: BPM st: NotStopd t0: [04:00:00 01/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:00:00 01/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [04:00:00 01/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [04:00:00 01/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 564 u1: ml/B st: NotStopd t0: [04:00:00 01/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 01/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 01/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [04:00:00 01/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16743 id: RSBI (<100) el: 0 cu: MICU-A cg: RRT v1: 65.4206 u1: units st: NotStopd t0: [04:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16743 id: RSBI (<200) el: 0 cu: MICU-A cg: RRT v1: 65.4206 u1: units st: NotStopd t0: [04:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16743 id: Spon RR (Mech.) el: 0 cu: MICU-A cg: RRT v1: 21 u1: BPM st: NotStopd t0: [04:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16743 id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: RRT v1: 0.321 u1: L st: NotStopd
t0: [04:00:00 01/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 01/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [04:00:00 01/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [04:00:00 01/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 01/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [04:00:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 01/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [04:00:00 01/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [04:00:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 01/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 01/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 01/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16743 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/O2 Issues st: NotStopd t0: [04:00:00 01/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 01/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 01/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [04:00:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:00:00 01/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [04:00:00 01/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 01/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [04:00:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 01/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [04:00:00 01/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 01/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 01/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16743 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [04:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16743 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [04:00:00 01/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [04:00:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 01/11/2011] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [04:00:00 01/11/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 01/11/2011] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 01/11/2011] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 01/11/2011] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [04:00:00 01/11/2011] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16743 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 01/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 01/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [04:00:00 01/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 01/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [04:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16743 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 01/11/2011] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 01/11/2011] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Edema/Swelling st: NotStopd t0: [04:00:00 01/11/2011] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 01/11/2011] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [04:00:00 01/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [04:00:00 01/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 01/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 01/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [04:00:00 01/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [04:00:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16743 id: Pain Management el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 01/11/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [04:00:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [04:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16743 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16743 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 01/11/2011] id: PresSoreStage/Heal#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: Other/Remarks st: NotStopd t0: [04:00:00 01/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Serosanguinous v2: Small st: NotStopd t0: [04:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16743 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16743 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Yellow st: NotStopd t0: [04:00:00 01/11/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [04:00:00 01/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16743 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [04:00:00 01/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [04:00:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [04:00:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [04:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16743 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [04:00:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16743 id: Procedures el: 0 cu: MICU-A cg: RN st: NotStopd t0: [04:00:00 01/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 01/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 01/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 01/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16743 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 01/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 01/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 01/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 01/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 01/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Other/Remarks st: NotStopd t0: [04:00:00 01/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 01/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16743 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 01/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [04:00:00 01/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [04:00:00 01/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [04:00:00 01/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 01/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [04:00:00 01/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 01/11/2011] id: Bladder Irrigation el: 0 cu: MICU-A cg: RN v1: Continuous Irrig st: NotStopd t0: [04:00:00 01/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [04:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16743 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [04:00:00 01/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [04:00:00 01/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 01/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 30.375 vu: ml t0: [04:00:00 01/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 20 vu: ml t0: [04:00:00 01/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 01/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [04:00:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 36.9 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 36.9 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.3 u1: % rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.3 u1: gm/dl rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 105 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.46 u1: /mic l rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 36.9 rs: Final st: NotStopd
t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: PT el: 0 cu: MICU-A cg: 1663 v1: 12.9 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 35.5 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.9 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 35.5 rs: Final st: NotStopd
t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: BUN el: 0 cu: MICU-A cg: 1663 v1: 58 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6 u1: mg/dl rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 104 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 167 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.6 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.9 u1: mEq/L rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 136 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.7 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Uric Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.7 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 67 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 85 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 498 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Amylase Enzymes el: 0 cu: MICU-A cg: 1663 v1: 46 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 58 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: CPK Enzymes el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6 u1: mg/dl rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 104 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 167 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 556 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.6 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.9 u1: mEq/L rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 136 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.7 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Uric Acid (2.7-7.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.7 rs: Final st: NotStopd
t0: [04:30:00 01/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [04:30:00 01/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:30:00 01/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:30:00 01/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [04:30:00 01/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [04:30:00 01/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:30:00 01/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:30:00 01/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:30:00 01/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [04:30:00 01/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [04:30:00 01/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:30:00 01/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:30:00 01/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:30:00 01/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [04:30:00 01/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:30:00 01/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:30:00 01/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:30:00 01/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:30:00 01/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:30:00 01/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:30:00 01/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:30:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16713 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:30:00 01/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [04:30:00 01/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:30:00 01/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 01/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [05:00:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 01/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [05:00:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [05:00:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [05:00:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [05:00:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [05:00:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [05:00:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16683 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [05:00:00 01/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [05:00:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [05:00:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [05:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16683 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [05:00:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [05:00:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 01/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 01/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 30.375 vu: ml t0: [05:00:00 01/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 30 vu: ml t0: [05:00:00 01/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 01/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [05:00:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.09 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [05:44:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16639 id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [05:44:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16639 id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [05:44:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16639 id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [05:44:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16639 id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [05:44:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16639 id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [05:44:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16639 id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 88 u1: mmHg rs: Final st: NotStopd t0: [05:44:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16639 id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.42 rs: Final st: NotStopd t0: [05:44:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16639 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd
t0: [05:30:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:30:00 01/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [05:30:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:30:00 01/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [05:30:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:30:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [05:30:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [05:30:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:30:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [05:30:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:30:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [05:30:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [05:30:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:30:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16653 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [05:30:00 01/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [05:30:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [05:30:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [05:30:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16653 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [05:30:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:30:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [05:30:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [05:30:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:30:00 01/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 219 rs: Manual st: NotStopd
t0: [05:30:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:30:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:30:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [06:00:00 01/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [06:00:00 01/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 01/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [06:00:00 01/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 01/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [06:00:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [06:00:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [06:00:00 01/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [06:00:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 01/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [06:00:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [06:00:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 01/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [06:00:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [06:00:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [06:00:00 01/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 01/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [06:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16623 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [06:00:00 01/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [06:00:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [06:00:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [06:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16623 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [06:00:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 01/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 01/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [06:00:00 01/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 01/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 01/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 01/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16623 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [06:00:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 01/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 60 vu: ml t0: [04:30:00 01/11/2011] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Small t0: [06:00:00 01/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 01/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 32.0625 vu: ml t0: [06:00:00 01/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 30 vu: ml t0: [06:00:00 01/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 01/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 110 vu: ml t0: [06:00:00 01/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml t0: [06:00:00 01/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [06:00:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [06:45:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:45:00 01/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [06:45:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:45:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:45:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [06:45:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [06:45:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:45:00 01/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [06:45:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [06:45:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:45:00 01/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:45:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [06:45:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [06:45:00 01/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [06:45:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:45:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16578 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [06:45:00 01/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [06:45:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [06:45:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [06:45:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16578 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [06:45:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:45:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16578 id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [06:45:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:45:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [06:45:00 01/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [06:45:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:45:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:45:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:45:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [07:00:00 01/11/2011] id: Peak Flow el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [07:00:00 01/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [07:00:00 01/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [07:00:00 01/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [07:00:00 01/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [07:00:00 01/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [07:00:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [07:00:00 01/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [07:00:00 01/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [07:00:00 01/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [07:00:00 01/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [07:00:00 01/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [07:00:00 01/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 30 u1: ml/cmH st: NotStopd t0: [07:00:00 01/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 15 t0: [07:00:00 01/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [07:00:00 01/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [07:00:00 01/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.2 st: NotStopd t0: [07:00:00 01/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [07:00:00 01/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [07:00:00 01/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.4 u1: L/min st: NotStopd t0: [07:00:00 01/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:00:00 01/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [07:00:00 01/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [07:00:00 01/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [07:00:00 01/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [07:00:00 01/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [07:00:00 01/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [07:00:00 01/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd
tf: [15:00:00 04/11/2011] pt: Unit Dose rt: TP fr: BID fs: 08, 20 dn: 2 m1: Triamcinolone Acetonide 0.1% Ointment v1: 1 u1: Appl
t0: [07:00:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 01/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [07:00:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [07:00:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [07:00:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [07:00:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [07:00:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [07:00:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16563 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [08:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16503 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [07:00:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [07:00:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [07:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16563 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [07:00:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [07:00:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 01/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 01/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 01/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [08:00:00 01/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [08:00:00 01/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 01/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 01/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [08:00:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 01/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [08:00:00 01/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [08:00:00 01/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 01/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 01/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 01/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16503 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/O2 Issues st: NotStopd t0: [08:00:00 01/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 01/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [08:00:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [08:00:00 01/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [08:00:00 01/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [08:00:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [08:00:00 01/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 01/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 01/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16503 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [08:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16503 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [08:00:00 01/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [08:00:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 01/11/2011] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [08:00:00 01/11/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/11/2011] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 01/11/2011] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/11/2011] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [08:00:00 01/11/2011] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16503 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 01/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 01/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [08:00:00 01/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16503 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 01/11/2011] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 01/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [08:00:00 01/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 01/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 01/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 01/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 01/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 01/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16503 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 01/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [08:00:00 01/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [08:00:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16503 id: Pain Management el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 01/11/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [08:00:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [08:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16503 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 01/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 01/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 01/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [08:00:00 01/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [08:00:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [08:00:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [08:00:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 01/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 01/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 01/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 01/11/2011] id: RLE/LLE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 01/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 01/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 01/11/2011] id: RUE/LUE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 01/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 01/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 01/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 01/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16503 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [08:00:00 01/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 01/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 01/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 01/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 01/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 01/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 01/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 01/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 01/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16503 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 01/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 01/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [08:00:00 01/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [08:00:00 01/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 01/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [08:00:00 01/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 01/11/2011] id: Bladder Irrigation el: 0 cu: MICU-A cg: RN v1: Off/Hold st: NotStopd t0: [08:00:00 01/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 01/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 01/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 01/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 01/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [08:00:00 01/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 01/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [08:00:00 01/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16503 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [08:00:00 01/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [07:00:00 01/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 01/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [07:00:00 01/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 30 vu: ml t0: [07:00:00 01/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [07:00:00 01/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml t0: [08:00:00 01/11/2011] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 200 vu: ml t0: [08:00:00 01/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 01/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [08:00:00 01/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 30 vu: ml t0: [08:00:00 01/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [08:00:00 01/11/2011] id: Normal Saline_GU GU Irrigant el: 1 cu: MICU-A cg: RN ai: 591 vu: ml st: Stopped t0: [08:00:00 01/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [07:00:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
tf: [09:00:00 01/11/2011] pt: Unit Dose rt: TP fr: TID:PRN m1: Aquaphor Ointment v1: 1 u1: Appl tf: [07:00:00 02/11/2011] pt: IV Piggyback rt: IV fr: Q8H fs: 2, 10, 18 dn: 3 m1: Hydrocortisone Na Succ. v1: 50 u1: mg m2: Syringe v2: 1 u2: SYR
t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Direct Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [03:50:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16753 id: Direct Bili (0-0.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.2 rs: Final st: NotStopd
t0: [09:00:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 01/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [09:00:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [09:00:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [09:00:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [09:00:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [09:00:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [09:00:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16443 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [10:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16383 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [09:00:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [09:00:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [09:00:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [09:00:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 01/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [10:00:00 01/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 01/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [10:00:00 01/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 01/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [10:00:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [10:00:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:00:00 01/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [10:00:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 01/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [10:00:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [10:00:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 01/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [10:00:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [10:00:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [10:00:00 01/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 01/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [10:00:00 01/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [10:00:00 01/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [10:00:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [10:00:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [10:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16383 id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 89 u1: kg st: NotStopd t0: [10:00:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 01/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 01/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 01/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 01/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 01/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 01/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16383 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [10:00:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 01/11/2011] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 50 vu: ml t0: [09:00:00 01/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 01/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [09:00:00 01/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 30 vu: ml t0: [09:00:00 01/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 01/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml t0: [10:00:00 01/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 01/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [10:00:00 01/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 30 vu: ml t0: [10:00:00 01/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 01/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml t0: [11:00:00 01/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 01/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [11:00:00 01/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 30 vu: ml st: Stopped t0: [11:00:00 01/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 01/11/2011] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Small t0: [11:00:00 01/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml t0: [11:00:00 01/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [09:00:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [07:42:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16521 id: Vancomycin/Random Drug Level el: 0 cu: MICU-A cg: 1663 v1: 14.7 rs: Final st: NotStopd
tf: [10:00:00 02/11/2011] pt: IV Piggyback rt: IV fr: ONCE fs: 11 dn: 1 m1: Calcium Gluconate v1: 4 u1: gm m2: NS v2: 250 u2: ml
t0: [11:00:00 01/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 30 u1: ml/cmH st: NotStopd t0: [11:00:00 01/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [11:00:00 01/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 19 t0: [11:00:00 01/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:00:00 01/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [11:00:00 01/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [11:00:00 01/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.2 st: NotStopd t0: [11:00:00 01/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [11:00:00 01/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [11:00:00 01/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [11:00:00 01/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [11:00:00 01/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [11:00:00 01/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.1 u1: L/min st: NotStopd t0: [11:00:00 01/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:00:00 01/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [11:00:00 01/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [11:00:00 01/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [11:00:00 01/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 6 u1: BPM st: NotStopd t0: [11:00:00 01/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [11:00:00 01/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [11:00:00 01/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [11:00:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [11:00:00 01/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [11:00:00 01/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [11:00:00 01/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [11:00:00 01/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [11:00:00 01/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [11:00:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 01/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 18 u1: mmHg st: NotStopd t0: [11:00:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [11:00:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [11:00:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [11:00:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [11:00:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [11:00:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16323 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [11:00:00 01/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [11:00:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [11:00:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [11:00:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [11:00:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [11:12:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16311 id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
t0: [10:00:00 01/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [10:00:00 01/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [11:00:00 01/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 01/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 01/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [11:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16323 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16263 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [11:00:00 01/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 01/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 01/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [11:00:00 01/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 01/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 01/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 01/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 01/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [12:00:00 01/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [12:00:00 01/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 01/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 01/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [12:00:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 01/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [12:00:00 01/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 01/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 01/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 01/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16263 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/O2 Issues st: NotStopd t0: [12:00:00 01/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 01/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 01/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [12:00:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [12:00:00 01/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [12:00:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 01/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [12:00:00 01/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 01/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 01/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16263 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [12:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16263 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [12:00:00 01/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [12:00:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 01/11/2011] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [12:00:00 01/11/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 01/11/2011] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 01/11/2011] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 01/11/2011] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [12:00:00 01/11/2011] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16263 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 01/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 01/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [12:00:00 01/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 01/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [12:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16263 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 01/11/2011] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 01/11/2011] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [12:00:00 01/11/2011] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Edema/Swelling st: NotStopd t0: [12:00:00 01/11/2011] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 01/11/2011] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 01/11/2011] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [12:00:00 01/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [12:00:00 01/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 01/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 01/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 01/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 01/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 01/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 01/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [12:00:00 01/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [12:00:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [12:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16263 id: Pain Management el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 01/11/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [12:00:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [12:00:00 01/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 01/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16263 id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16263 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: No st: NotStopd t0: [12:00:00 01/11/2011] id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: 0.5 cm st: NotStopd t0: [12:00:00 01/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks v2: Small st: NotStopd t0: [12:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16263 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [12:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16263 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16263 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [12:00:00 01/11/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [12:00:00 01/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16263 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [12:15:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16248 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [12:30:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16233 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [12:00:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [12:00:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 01/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 01/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 01/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 01/11/2011] id: RLE/LLE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [12:00:00 01/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 01/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 01/11/2011] id: RUE/LUE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [12:00:00 01/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 01/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 01/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 01/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16263 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [12:00:00 01/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 01/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 01/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 01/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 01/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 01/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [12:00:00 01/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 01/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Diaphoretic st: NotStopd t0: [12:00:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 01/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 01/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16263 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 01/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 01/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.7778 u1: Deg. C st: NotStopd t0: [12:00:00 01/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.4 u1: Deg. F st: NotStopd t0: [12:00:00 01/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 01/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [12:00:00 01/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 01/11/2011] id: Bladder Irrigation el: 0 cu: MICU-A cg: RN v1: Off/Hold st: NotStopd t0: [12:00:00 01/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 257 rs: Manual st: NotStopd t0: [12:00:00 01/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [12:00:00 01/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 01/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [12:00:00 01/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [12:00:00 01/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [12:00:00 01/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 01/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 9 u1: number st: NotStopd t0: [12:00:00 01/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16263 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [12:00:00 01/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd t0: [12:15:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:15:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:15:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:15:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [12:15:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [12:15:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:15:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [12:15:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:15:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [12:15:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [12:15:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:15:00 01/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [12:15:00 01/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [12:15:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [12:15:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [12:15:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:15:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:15:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [12:15:00 01/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [12:15:00 01/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [12:15:00 01/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [12:15:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:30:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:30:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:30:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:30:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [12:30:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [12:30:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:30:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [12:30:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:30:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:30:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [12:30:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:30:00 01/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [12:30:00 01/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [12:30:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [12:30:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [12:30:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:30:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:30:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [12:30:00 01/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [12:30:00 01/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.2222 u1: Deg. C st: NotStopd t0: [12:30:00 01/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.2 u1: Deg. F st: NotStopd t0: [12:30:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 01/11/2011] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml t0: [12:00:00 01/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 01/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [12:00:00 01/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 01/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [12:00:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:15:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:15:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:15:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:30:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:30:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:30:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [13:00:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [13:00:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [13:00:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [13:00:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [13:00:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [13:00:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16203 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [13:00:00 01/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [13:00:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [13:00:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [13:00:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [13:00:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 01/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 01/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [13:00:00 01/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 01/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml t0: [13:30:00 01/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [13:30:00 01/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.875 vu: ml t0: [13:30:00 01/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2.5 vu: ml t0: [13:30:00 01/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [13:30:00 01/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 0.5 vu: ml
t0: [13:00:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
tf: [12:00:00 10/11/2011] pt: IV Piggyback rt: IV fr: Q24H fs: 14 dn: 1 m1: Ambisome v1: 600 u1: mg m2: D5W v2: 300 u2: ml
tf: [11:00:00 02/11/2011] pt: IV Piggyback rt: IV fr: ONCE fs: 15 dn: 1 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
t0: [13:00:00 01/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [13:00:00 01/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [14:00:00 01/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [14:00:00 01/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 01/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 01/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [14:00:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 01/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [14:00:00 01/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 01/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 01/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [14:00:00 01/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [14:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16143 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 01/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [14:00:00 01/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 01/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 01/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [14:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16143 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [15:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16083 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [15:15:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16068 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [14:00:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [14:00:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16143 id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: CT scan st: NotStopd t0: [14:00:00 01/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 01/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 01/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 01/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 01/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 01/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 01/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16143 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [14:00:00 01/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [14:00:00 01/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:00:00 01/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [15:00:00 01/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [15:00:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [15:00:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [15:00:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 01/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [15:00:00 01/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [15:15:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:15:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:15:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:15:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [15:15:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [15:15:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:15:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [15:15:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:15:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [15:15:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 213 u1: mmHg st: NotStopd t0: [15:15:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [15:15:00 01/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [15:15:00 01/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [15:15:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [15:15:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [15:15:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [15:15:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [15:15:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [15:15:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 01/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [16:00:00 01/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 01/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 01/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [16:00:00 01/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16023 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/O2 Issues st: NotStopd t0: [16:00:00 01/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [16:00:00 01/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [16:00:00 01/11/2011] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [16:00:00 01/11/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 01/11/2011] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 01/11/2011] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 01/11/2011] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [16:00:00 01/11/2011] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16023 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 01/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 01/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [16:00:00 01/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16023 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 01/11/2011] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 01/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [16:00:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [16:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16023 id: Pain Management el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 01/11/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [16:00:00 01/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 01/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 01/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 01/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:00:00 01/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 01/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 01/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 01/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16023 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 01/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 01/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [16:00:00 01/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 01/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [16:00:00 01/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 01/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 9 u1: number st: NotStopd t0: [16:00:00 01/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [15:00:00 01/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 15 vu: ml t0: [15:00:00 01/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 50.625 vu: ml t0: [15:00:00 01/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [15:00:00 01/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1.5 vu: ml t0: [16:00:00 01/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 01/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [16:00:00 01/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 01/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml t0: [16:00:00 01/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [14:00:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:15:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:15:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
tf: [14:00:00 12/11/2011] pt: Non-Formulary rt: TP fr: TID fs: 08, 16, 22 m1: Nivea Skin f1: CREA v1: 1 u1: Appl
t0: [12:00:00 01/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [12:00:00 01/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 01/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 01/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 01/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 01/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [16:00:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 01/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [16:00:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 01/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 01/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 01/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 01/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 01/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 01/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [16:00:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:00:00 01/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [16:00:00 01/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 01/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 01/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 01/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16023 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [16:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16023 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [16:00:00 01/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [16:00:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 01/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [16:00:00 01/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 01/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 01/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 01/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 01/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 01/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 01/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [16:00:00 01/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [16:00:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [16:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16023 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16023 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [16:00:00 01/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [16:00:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [16:00:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [16:00:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 01/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 01/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 01/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 01/11/2011] id: RLE/LLE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [16:00:00 01/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 01/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 01/11/2011] id: RUE/LUE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [16:00:00 01/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 01/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16023 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Flexion st: NotStopd t0: [16:00:00 01/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 01/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 01/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 01/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [16:00:00 01/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [16:00:00 01/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [16:00:00 01/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [16:00:00 01/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [16:00:00 01/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 01/11/2011] id: Bladder Irrigation el: 0 cu: MICU-A cg: RN v1: Off/Hold st: NotStopd t0: [16:00:00 01/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [16:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16023 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [16:00:00 01/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [15:15:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [15:00:00 01/11/2011] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml t0: [16:00:00 01/11/2011] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 105 vo: 250 vu: ml t0: [16:00:00 01/11/2011] tf: [07:00:00 02/11/2011] dt: 900 id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 350 vu: ml
t0: [17:18:00 01/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.2727 u1: ml/cmH st: NotStopd t0: [17:18:00 01/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [17:18:00 01/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 19 t0: [17:18:00 01/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:18:00 01/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [17:18:00 01/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:18:00 01/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.2 st: NotStopd t0: [17:18:00 01/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [17:18:00 01/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [17:18:00 01/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [17:18:00 01/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [17:18:00 01/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [17:18:00 01/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:18:00 01/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.8 u1: L/min st: NotStopd t0: [17:18:00 01/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:18:00 01/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [17:18:00 01/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [17:18:00 01/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [17:18:00 01/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [17:18:00 01/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [17:18:00 01/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [17:18:00 01/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:18:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [17:18:00 01/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [17:18:00 01/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [17:18:00 01/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [17:18:00 01/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [17:00:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [17:00:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [17:00:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 67 u1: BPM st: NotStopd t0: [17:00:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:00:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [17:00:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15963 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [17:00:00 01/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [17:00:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [17:00:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [17:00:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:00:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [17:00:00 01/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [17:00:00 01/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [18:00:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 01/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [18:00:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [18:00:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [18:00:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [18:00:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [18:00:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [18:00:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15903 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [18:00:00 01/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [18:00:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [18:00:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [18:00:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [18:00:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 01/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 221 rs: Manual st: NotStopd
t0: [16:00:00 01/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 5 vu: ml t0: [17:00:00 01/11/2011] tf: [11:00:00 02/11/2011] dt: 1080 id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 0 vu: ml st: Restart t0: [17:00:00 01/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 01/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 100 vu: ml t0: [17:00:00 01/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 27 vu: ml t0: [17:00:00 01/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 40 vu: ml t0: [17:00:00 01/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 01/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml t0: [18:00:00 01/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 01/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 100 vu: ml t0: [18:00:00 01/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 27 vu: ml t0: [18:00:00 01/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 40 vu: ml t0: [18:00:00 01/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 01/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 190 vu: ml t0: [18:00:00 01/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [18:00:00 01/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [18:00:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 01/11/2011] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU-A cg: RN cv: 300 ap: none
t0: [20:57:00 01/11/2011] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [20:57:00 01/11/2011] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 90 u1: kg t0: [20:57:00 01/11/2011] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [20:57:00 01/11/2011] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: FUNGAL PNEUMONIA t0: [20:57:00 01/11/2011] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [20:57:00 01/11/2011] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [20:57:00 01/11/2011] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [20:57:00 01/11/2011] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: M t0: [20:57:00 01/11/2011] id: Religion el: 1000 cu: MICU-A cg: -1 v1: RCA t0: [20:57:00 01/11/2011] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [20:57:00 01/11/2011] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [20:57:00 01/11/2011] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [20:57:00 01/11/2011] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [19:00:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [19:00:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [19:00:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [19:00:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [19:00:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [20:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15783 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15843 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [20:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15783 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [21:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15723 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [19:00:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [19:00:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15843 id: Procedures el: 0 cu: MICU-A cg: RN v1: Chest Tube In st: NotStopd t0: [19:00:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [19:00:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 01/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 01/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 01/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [20:00:00 01/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 01/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 01/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [20:00:00 01/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 01/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [20:00:00 01/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [20:00:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 01/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 01/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 01/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15783 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/O2 Issues st: NotStopd t0: [20:00:00 01/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 01/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 01/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [20:00:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [20:00:00 01/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [20:00:00 01/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 01/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [20:00:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 01/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [20:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15783 id: Family Communication el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 01/11/2011] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [20:00:00 01/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 01/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15783 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [20:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15783 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [20:00:00 01/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 01/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [20:00:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 01/11/2011] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [20:00:00 01/11/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 01/11/2011] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 01/11/2011] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 01/11/2011] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [20:00:00 01/11/2011] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15783 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 01/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 01/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [20:00:00 01/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 01/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft st: NotStopd t0: [20:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15783 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 01/11/2011] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 01/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 01/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 01/11/2011] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Blister st: NotStopd t0: [20:00:00 01/11/2011] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 01/11/2011] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 01/11/2011] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [20:00:00 01/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [20:00:00 01/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 01/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 01/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 01/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 01/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 01/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 01/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [20:00:00 01/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [20:00:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [20:00:00 01/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [20:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15783 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 01/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 01/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 01/11/2011] id: PresSoreStage/Heal#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [20:00:00 01/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15783 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15783 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [20:00:00 01/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 01/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [20:00:00 01/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [20:00:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [20:00:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [20:00:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 01/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 01/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 01/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 01/11/2011] id: RLE/LLE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [20:00:00 01/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 01/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 01/11/2011] id: RUE/LUE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [20:00:00 01/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15783 id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [20:00:00 01/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 01/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [20:00:00 01/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [20:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15783 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Withdraws st: NotStopd t0: [20:00:00 01/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 01/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 01/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 01/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 01/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 01/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 01/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 01/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 01/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15783 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 01/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 01/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.7222 u1: Deg. C st: NotStopd t0: [20:00:00 01/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.3 u1: Deg. F st: NotStopd t0: [20:00:00 01/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [20:00:00 01/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Turns by self st: NotStopd t0: [20:00:00 01/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [20:00:00 01/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 01/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 01/11/2011] id: Bladder Irrigation el: 0 cu: MICU-A cg: RN v1: Off/Hold st: NotStopd t0: [20:00:00 01/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 01/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 01/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 01/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 01/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 01/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 01/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 01/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15783 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [20:00:00 01/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [21:00:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 01/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [21:00:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [21:00:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [21:00:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [21:00:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [21:00:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [21:00:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 01/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [21:00:00 01/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [21:00:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [21:00:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [21:00:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [21:00:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 01/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Tenacious st: NotStopd t0: [21:00:00 01/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [21:00:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 01/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 01/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 54 vu: ml t0: [20:00:00 01/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 80 vu: ml t0: [20:00:00 01/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 01/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 130 vu: ml t0: [20:00:00 01/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [19:00:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 01/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd
t0: [21:00:00 01/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 01/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 300 vu: ml t0: [21:00:00 01/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 27 vu: ml t0: [21:00:00 01/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 40 vu: ml t0: [21:00:00 01/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 01/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 190 vu: ml t0: [21:00:00 01/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [21:00:00 01/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [21:00:00 01/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [21:00:00 01/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 19 t0: [21:00:00 01/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:00:00 01/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [21:00:00 01/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:00:00 01/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.8 st: NotStopd t0: [21:00:00 01/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [21:00:00 01/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 01/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [21:00:00 01/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [21:00:00 01/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [21:00:00 01/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [21:00:00 01/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.1 u1: L/min st: NotStopd t0: [21:00:00 01/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:00:00 01/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [21:00:00 01/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [21:00:00 01/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [21:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15723 id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [21:00:00 01/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [21:00:00 01/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [21:00:00 01/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [21:00:00 01/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:00:00 01/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 638 u1: ml/B st: NotStopd t0: [21:00:00 01/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [21:00:00 01/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [21:00:00 01/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [21:00:00 01/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [22:00:00 01/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [22:00:00 01/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 01/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [22:00:00 01/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [22:00:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [22:00:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [22:00:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:00:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [22:00:00 01/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15663 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [22:00:00 01/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [22:00:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [22:00:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [22:00:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 01/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 01/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [22:00:00 01/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 01/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 01/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 01/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 01/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 01/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 100 vu: ml t0: [22:00:00 01/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 27 vu: ml t0: [22:00:00 01/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 40 vu: ml t0: [22:00:00 01/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml
t0: [22:00:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 01/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [22:00:00 01/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 60 vu: ml
t0: [20:46:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15737 id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 32.6 u1: % rs: Final st: NotStopd
t0: [23:00:00 01/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 01/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [23:00:00 01/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 01/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 01/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [23:00:00 01/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [23:00:00 01/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 01/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [23:00:00 01/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 01/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [23:00:00 01/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [23:00:00 01/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15603 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [23:00:00 01/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [23:00:00 01/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [23:00:00 01/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [23:00:00 01/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 01/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 01/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 01/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 01/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 100 vu: ml t0: [23:00:00 01/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 27 vu: ml t0: [23:00:00 01/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 50 vu: ml t0: [23:00:00 01/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 01/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [23:00:00 01/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 01/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:38:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15865 id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 34.7 u1: % rs: Final st: NotStopd
t0: [00:00:00 02/11/2011] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [00:00:00 02/11/2011] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [00:00:00 02/11/2011] id: INV Line#2SiteAppear el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [00:00:00 02/11/2011] id: INV#2 WaveformAppear el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [00:00:00 02/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWkr v1: 218 rs: Manual st: NotStopd
t0: [00:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15543 id: Calcium Chemistry el: 0 cu: MICU-A cg: CoWkr u1: mg/dl rs: Manual st: NotStopd t0: [00:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15543 id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: CoWkr u1: mg/dl rs: Manual st: NotStopd
t0: [23:00:00 01/11/2011] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [23:00:00 01/11/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [23:00:00 01/11/2011] id: INV Line#2 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [23:00:00 01/11/2011] id: INV Line#2InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [23:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15603 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [23:00:00 01/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [23:00:00 01/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [23:00:00 01/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [23:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 15603 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 02/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 02/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [00:00:00 02/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 02/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 02/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 02/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [00:00:00 02/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 02/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [00:00:00 02/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [00:00:00 02/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 02/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 02/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 02/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 02/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15543 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/O2 Issues st: NotStopd t0: [00:00:00 02/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 02/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 02/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 02/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [00:00:00 02/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [00:00:00 02/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [00:00:00 02/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [00:00:00 02/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [00:00:00 02/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 02/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 02/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15543 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [00:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15543 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [00:00:00 02/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 02/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 02/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [00:00:00 02/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 02/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 02/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 02/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [00:00:00 02/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 02/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 02/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 02/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 02/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 02/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 02/11/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [00:00:00 02/11/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 63.6667 u1: mmHg st: NotStopd t0: [00:00:00 02/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [00:00:00 02/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [00:00:00 02/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15543 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 02/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 02/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 02/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 02/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15543 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [00:00:00 02/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [00:00:00 02/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [00:00:00 02/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [00:00:00 02/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 02/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 02/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 02/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 02/11/2011] id: RLE/LLE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [00:00:00 02/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 02/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 02/11/2011] id: RUE/LUE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [00:00:00 02/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Insp Wheeze st: NotStopd t0: [00:00:00 02/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 02/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 02/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 02/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15543 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Withdraws st: NotStopd t0: [00:00:00 02/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 02/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 02/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 02/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 02/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 02/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15543 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 02/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.2222 u1: Deg. C st: NotStopd t0: [00:00:00 02/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 95.4 u1: Deg. F st: NotStopd t0: [00:00:00 02/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 02/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber st: NotStopd t0: [00:00:00 02/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [00:00:00 02/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 02/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 02/11/2011] id: Bladder Irrigation el: 0 cu: MICU-A cg: RN v1: Discontinued st: NotStopd t0: [00:00:00 02/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 02/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [22:00:00 01/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 3 vu: ml t0: [23:00:00 01/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 3 vu: ml t0: [00:00:00 02/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 02/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 100 vu: ml t0: [00:00:00 02/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 27 vu: ml t0: [00:00:00 02/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 50 vu: ml t0: [00:00:00 02/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 02/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml t0: [00:00:00 02/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 3 vu: ml
t0: [22:00:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 01/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 02/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 02/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 02/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip
t0: [00:00:00 02/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 23.0769 u1: ml/cmH st: NotStopd t0: [00:00:00 02/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 02/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 19 t0: [00:00:00 02/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 02/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 02/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 02/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.8 st: NotStopd t0: [00:00:00 02/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 02/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 02/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [00:00:00 02/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [00:00:00 02/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [00:00:00 02/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [00:00:00 02/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.8 u1: L/min st: NotStopd t0: [00:00:00 02/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 02/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [00:00:00 02/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [00:00:00 02/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [00:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15543 id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [00:00:00 02/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 02/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:00:00 02/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:00:00 02/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 02/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [00:00:00 02/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 02/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 604 u1: ml/B st: NotStopd t0: [00:00:00 02/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:00:00 02/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 02/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [00:00:00 02/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 02/11/2011] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Blister st: NotStopd t0: [00:00:00 02/11/2011] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 02/11/2011] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [00:00:00 02/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15543 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [00:00:00 02/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15543 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Wound Cleanser st: NotStopd t0: [00:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15543 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [00:00:00 02/11/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [00:00:00 02/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [01:00:00 02/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 02/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [01:00:00 02/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 02/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 02/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 02/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 02/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 02/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [01:00:00 02/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 02/11/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [01:00:00 02/11/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 76.3333 u1: mmHg st: NotStopd t0: [01:00:00 02/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15483 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [01:00:00 02/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [01:00:00 02/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [01:00:00 02/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [01:00:00 02/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 02/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:00:00 02/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 02/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 02/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 100 vu: ml t0: [01:00:00 02/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 27 vu: ml t0: [01:00:00 02/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 50 vu: ml t0: [01:00:00 02/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 02/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml t0: [01:00:00 02/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 3 vu: ml
t0: [01:00:00 02/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 02/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 02/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip
t0: [00:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15543 id: Procedures el: 0 cu: MICU-A cg: RN v1: Line Placement st: NotStopd
t0: [00:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15543 id: BATH el: 0 cu: MICU-A cg: RN v1: DOne t0: [00:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15543 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 02/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 02/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:00:00 02/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [01:00:00 02/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [02:00:00 02/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 02/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [02:00:00 02/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 02/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 02/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [02:00:00 02/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [02:00:00 02/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 02/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [02:00:00 02/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 02/11/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [02:00:00 02/11/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 71.6667 u1: mmHg st: NotStopd t0: [02:00:00 02/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15423 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [02:00:00 02/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [02:00:00 02/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [02:00:00 02/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [02:00:00 02/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 02/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 02/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 02/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 02/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 15 vu: ml t0: [02:00:00 02/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 02/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 100 vu: ml t0: [02:00:00 02/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 27 vu: ml t0: [02:00:00 02/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 50 vu: ml t0: [02:00:00 02/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 02/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [02:00:00 02/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 3 vu: ml
t0: [02:00:00 02/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 02/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.08 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 02/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip
t0: [03:00:00 02/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 02/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [03:00:00 02/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 02/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 02/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 02/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 61 u1: BPM st: NotStopd t0: [03:00:00 02/11/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:00:00 02/11/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 70.6667 u1: mmHg st: NotStopd t0: [03:00:00 02/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15363 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [03:00:00 02/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [03:00:00 02/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [03:00:00 02/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 02/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 02/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 02/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 02/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 02/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 100 vu: ml t0: [03:00:00 02/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 20 vu: ml t0: [03:00:00 02/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 60 vu: ml t0: [03:00:00 02/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 02/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 70 vu: ml
t0: [03:00:00 02/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 02/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.059 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 02/11/2011] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 35 cv: 35 ap: none t0: [23:00:00 02/11/2011] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: 1663 pv: 128.1 cv: 128.1 ap: none t0: [23:00:00 02/11/2011] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: 1663 pv: 18.1 cv: 2017.31 ap: none t0: [23:00:00 02/11/2011] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: 1663 pv: 163.1 cv: 3572.31 ap: none t0: [23:00:00 02/11/2011] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 20 cv: 730 ap: none t0: [23:00:00 02/11/2011] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 35 cv: 1510 ap: none t0: [23:00:00 02/11/2011] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: 1663 pv: 128.1 cv: 1812.31 ap: carryForward t0: [23:00:00 02/11/2011] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 35 cv: 1760 ap: carryForward t0: [23:00:00 02/11/2011] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: RN pv: 125 cv: 825 ap: none t0: [23:00:00 02/11/2011] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: 1663 cv: 6453.56 ap: carryForward
t0: [04:00:00 02/11/2011] id: INV Line#2 D/C Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [04:00:00 02/11/2011] id: INV Line#2 Zero/Cal el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [00:00:00 02/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Changed st: NotStopd t0: [00:00:00 02/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 02/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15543 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [02:00:00 02/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [02:00:00 02/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [02:00:00 02/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [02:00:00 02/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [02:00:00 02/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15303 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 02/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 02/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15423 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [03:00:00 02/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [03:00:00 02/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [03:00:00 02/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15303 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [04:00:00 02/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 02/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Negative v2: Negative st: NotStopd t0: [04:00:00 02/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [04:00:00 02/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 02/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [04:00:00 02/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 02/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [04:00:00 02/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [04:00:00 02/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 02/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 02/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 02/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 02/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 02/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 02/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 02/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 02/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [04:00:00 02/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:00:00 02/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [04:00:00 02/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 02/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [04:00:00 02/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 02/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 02/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [04:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15303 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [04:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15303 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [04:00:00 02/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 02/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 02/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [04:00:00 02/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 02/11/2011] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [04:00:00 02/11/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15303 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 02/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 02/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [04:00:00 02/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15303 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 02/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 02/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 02/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [04:00:00 02/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 02/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 02/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 02/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 02/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 02/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 02/11/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [04:00:00 02/11/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 77.3333 u1: mmHg st: NotStopd t0: [04:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15303 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 02/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [04:00:00 02/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [04:00:00 02/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15303 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [04:00:00 02/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 02/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [04:00:00 02/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 02/11/2011] tf: [16:01:00 03/11/2011] dt: 2161 id: INV#1 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [04:00:00 02/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 02/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [04:00:00 02/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [04:00:00 02/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [04:00:00 02/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [04:00:00 02/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 02/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 02/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 02/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 02/11/2011] id: RLE/LLE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [04:00:00 02/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 02/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 02/11/2011] id: RUE/LUE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [04:00:00 02/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Insp Wheeze st: NotStopd t0: [04:00:00 02/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 02/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 02/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 02/11/2011] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 02/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 02/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 02/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 02/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 02/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 02/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 02/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15303 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 02/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 02/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.0556 u1: Deg. C st: NotStopd t0: [04:00:00 02/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 95.1 u1: Deg. F st: NotStopd t0: [04:00:00 02/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [04:00:00 02/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 02/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 02/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [04:00:00 02/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 02/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 02/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [04:00:00 02/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 02/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 02/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 02/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 02/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [04:00:00 02/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [04:00:00 02/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15303 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [04:00:00 02/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [03:00:00 02/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [04:00:00 02/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [04:00:00 02/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 02/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 100 vu: ml t0: [04:00:00 02/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 19.9125 vu: ml t0: [04:00:00 02/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 60 vu: ml t0: [04:00:00 02/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 02/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [04:00:00 02/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [03:00:00 02/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 02/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 02/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 02/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [05:00:00 02/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.2727 u1: ml/cmH st: NotStopd t0: [05:00:00 02/11/2011] id: RSBI (<100) el: 0 cu: MICU-A cg: RRT v1: 69.378 u1: units st: NotStopd t0: [05:00:00 02/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [05:00:00 02/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 19 t0: [05:00:00 02/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 02/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [05:00:00 02/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:00:00 02/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [05:00:00 02/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 02/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [05:00:00 02/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [05:00:00 02/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [05:00:00 02/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [05:00:00 02/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.3 u1: L/min st: NotStopd t0: [05:00:00 02/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 02/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [05:00:00 02/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [05:00:00 02/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [05:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15243 id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [05:00:00 02/11/2011] id: RSBI (<200) el: 0 cu: MICU-A cg: RRT v1: 69.378 u1: units st: NotStopd t0: [05:00:00 02/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [05:00:00 02/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [05:00:00 02/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [05:00:00 02/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 02/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [05:00:00 02/11/2011] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: RRT v1: 29 u1: BPM st: NotStopd t0: [05:00:00 02/11/2011] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: RRT v1: 0.418 u1: L st: NotStopd t0: [05:00:00 02/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 665 u1: ml/B st: NotStopd t0: [05:00:00 02/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [05:00:00 02/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [05:00:00 02/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [05:00:00 02/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15303 id: Procedures el: 0 cu: MICU-A cg: RN v1: Line Placement st: NotStopd
t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 36.3 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 36.3 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 31.8 u1: % rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.3 u1: gm/dl rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.55 u1: /mic l rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 36.3 rs: Final st: NotStopd
t0: [05:00:00 02/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 02/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [05:00:00 02/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 02/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 02/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [05:00:00 02/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [05:00:00 02/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 02/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [05:00:00 02/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15243 id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [05:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15243 id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15243 id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [05:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15243 id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [05:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15243 id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [05:00:00 02/11/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [05:00:00 02/11/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [05:00:00 02/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [05:00:00 02/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15243 id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [05:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15243 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [05:00:00 02/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [05:00:00 02/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [05:00:00 02/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [05:00:00 02/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 02/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 02/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 02/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 02/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 100 vu: ml t0: [05:00:00 02/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 13.5 vu: ml t0: [05:00:00 02/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 60 vu: ml t0: [05:00:00 02/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 02/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [05:00:00 02/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [05:00:00 02/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 02/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.033 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 02/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: PT el: 0 cu: MICU-A cg: 1663 v1: 12.9 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Fibrinogen Coags el: 0 cu: MICU-A cg: 1663 v1: 151 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 34.5 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Fibrinogen (150-400) Coags el: 0 cu: MICU-A cg: 1663 v1: 151 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.9 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 34.5 rs: Final st: NotStopd
t0: [05:21:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15222 id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd t0: [05:21:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15222 id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -2 rs: Final st: NotStopd t0: [05:21:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15222 id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [05:21:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15222 id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [05:21:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15222 id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 78 u1: mmHg rs: Final st: NotStopd t0: [05:21:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15222 id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd
t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: BUN el: 0 cu: MICU-A cg: 1663 v1: 55 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.7 u1: mg/dl rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 101 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 239 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.9 u1: mEq/L rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 134 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 55 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.7 u1: mg/dl rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 20 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 101 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 239 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.9 u1: mEq/L rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.7 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 134 rs: Final st: NotStopd
t0: [06:00:00 02/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 02/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [06:00:00 02/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 02/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 02/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [06:00:00 02/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [06:00:00 02/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 02/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [06:00:00 02/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 02/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [06:00:00 02/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [06:00:00 02/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15183 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [06:00:00 02/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [06:00:00 02/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [06:00:00 02/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [06:00:00 02/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 02/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 02/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 02/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 02/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 02/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 100 vu: ml t0: [06:00:00 02/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 11.1375 vu: ml t0: [06:00:00 02/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 60 vu: ml t0: [06:00:00 02/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 02/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml t0: [06:00:00 02/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [06:00:00 02/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 02/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.041 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 02/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 86 rs: Final st: NotStopd
t0: [06:00:00 02/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd
t0: [06:00:00 02/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 95 vu: ml t0: [07:00:00 02/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 02/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 14.1 vu: ml t0: [07:00:00 02/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 70 vu: ml t0: [07:00:00 02/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [07:00:00 02/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 65 vu: ml t0: [07:00:00 02/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [04:00:00 02/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [04:00:00 02/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 02/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 02/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [07:00:00 02/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 02/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 02/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [07:00:00 02/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [07:00:00 02/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 02/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [07:00:00 02/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 02/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [07:00:00 02/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [07:00:00 02/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15123 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [07:00:00 02/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 2 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [07:00:00 02/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [07:00:00 02/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [07:00:00 02/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 02/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [07:00:00 02/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 02/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 02/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 02/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.041 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 02/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [05:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15243 id: Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 245 rs: Manual st: NotStopd t0: [05:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15243 id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: RN v1: 245 rs: Manual st: NotStopd
tf: [06:00:00 03/11/2011] pt: IV Piggyback rt: IV fr: ONCE fs: 7 dn: 1 m1: Calcium Gluconate v1: 4 u1: gm m2: NS v2: 250 u2: ml tf: [06:00:00 03/11/2011] pt: IV Piggyback rt: IV fr: ONCE fs: 7 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml
t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Vancomycin/Random Drug Level el: 0 cu: MICU-A cg: 1663 v1: 17.1 rs: Final st: NotStopd
t0: [08:00:00 02/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26.087 u1: ml/cmH st: NotStopd t0: [08:00:00 02/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 02/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 19 t0: [08:00:00 02/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [08:00:00 02/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 02/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 02/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.8 st: NotStopd t0: [08:00:00 02/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 02/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 02/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [08:00:00 02/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [08:00:00 02/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [08:00:00 02/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.2 u1: L/min st: NotStopd t0: [08:00:00 02/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 02/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [08:00:00 02/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [08:00:00 02/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [08:00:00 02/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 02/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:00:00 02/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:00:00 02/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 02/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [08:00:00 02/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [08:00:00 02/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [08:00:00 02/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 02/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [08:00:00 02/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 02/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 02/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 02/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [08:00:00 02/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [08:00:00 02/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 02/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 02/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 02/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [08:00:00 02/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [08:00:00 02/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 02/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 02/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 02/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 02/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 02/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 02/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 02/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 02/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [08:00:00 02/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [08:00:00 02/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [08:00:00 02/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [08:00:00 02/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [08:00:00 02/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 02/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 02/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15063 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [08:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15063 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [08:00:00 02/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 02/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 02/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [08:00:00 02/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 02/11/2011] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [08:00:00 02/11/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15063 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 02/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [08:00:00 02/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 02/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [08:00:00 02/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15063 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 02/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 02/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 02/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 02/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [08:00:00 02/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 02/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 02/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 02/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 02/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 02/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 02/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [08:00:00 02/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 02/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [08:00:00 02/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 02/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [08:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15063 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [08:00:00 02/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 02/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 02/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 02/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 02/11/2011] id: INV#1 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [08:00:00 02/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [08:00:00 02/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15063 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [08:00:00 02/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 02/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [08:00:00 02/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 02/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [08:00:00 02/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 02/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 02/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 02/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 02/11/2011] id: RLE/LLE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 02/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 02/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 02/11/2011] id: RUE/LUE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 02/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 02/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 02/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 02/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 02/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 28 u1: BPM st: NotStopd t0: [08:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15063 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [08:00:00 02/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 02/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 02/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 02/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 02/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 02/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 02/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 02/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [08:00:00 02/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [08:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15063 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 02/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [08:00:00 02/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [08:00:00 02/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [08:00:00 02/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [08:00:00 02/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 02/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 02/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [08:00:00 02/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 02/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 02/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 02/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 02/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [08:00:00 02/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 02/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [08:00:00 02/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 02/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [08:00:00 02/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15063 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [08:00:00 02/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [08:00:00 02/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 450 vu: ml t0: [08:00:00 02/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 15 vu: ml t0: [08:00:00 02/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 02/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 13.8375 vu: ml t0: [08:00:00 02/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 70 vu: ml t0: [08:00:00 02/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [08:00:00 02/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml t0: [08:00:00 02/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [08:00:00 02/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 02/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.041 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 02/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
tf: [19:00:00 02/11/2011] pt: IV Piggyback rt: IV fr: Q8H fs: 2, 10, 18 dn: 3 m1: Hydrocortisone Na Succ. v1: 25 u1: mg m2: Syringe v2: 1 u2: SYR tf: [15:00:00 03/11/2011] pt: IV Piggyback rt: IV fr: Q24H fs: 9 dn: 1 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
t0: [10:00:00 02/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26.1905 u1: ml/cmH st: NotStopd t0: [10:00:00 02/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [10:00:00 02/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 19 t0: [10:00:00 02/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [10:00:00 02/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [10:00:00 02/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [10:00:00 02/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.8 st: NotStopd t0: [10:00:00 02/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [10:00:00 02/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [10:00:00 02/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [10:00:00 02/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [10:00:00 02/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [10:00:00 02/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10 u1: L/min st: NotStopd t0: [10:00:00 02/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [10:00:00 02/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [10:00:00 02/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [10:00:00 02/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [10:00:00 02/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 4 u1: BPM st: NotStopd t0: [10:00:00 02/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [10:00:00 02/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [10:00:00 02/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [10:00:00 02/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [10:00:00 02/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [10:00:00 02/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [10:00:00 02/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [10:00:00 02/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [10:00:00 02/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 53 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 61 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 507 rs: Final st: NotStopd t0: [03:54:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15309 id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd
t0: [09:00:00 02/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 02/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 02/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 02/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [09:00:00 02/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [09:00:00 02/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 02/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [09:00:00 02/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 02/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15003 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [10:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14943 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 02/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [09:00:00 02/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 02/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [09:00:00 02/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 02/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 02/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 02/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [10:00:00 02/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 02/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [10:00:00 02/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 02/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [10:00:00 02/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:00:00 02/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 02/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 02/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 02/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [10:00:00 02/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [10:00:00 02/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 02/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [10:00:00 02/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 02/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [10:00:00 02/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 02/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [10:00:00 02/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 02/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:00:00 02/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [10:00:00 02/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [10:00:00 02/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Green v2: Mucoid st: NotStopd t0: [10:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14943 id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [10:00:00 02/11/2011] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 02/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 02/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 02/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 02/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 02/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [11:00:00 02/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 02/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 02/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [11:00:00 02/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [11:00:00 02/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [11:00:00 02/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 02/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [09:00:00 02/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [09:00:00 02/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 02/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 13.8375 vu: ml t0: [09:00:00 02/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 70 vu: ml t0: [09:00:00 02/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 02/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [10:00:00 02/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 100 vu: ml t0: [10:00:00 02/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 02/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 13.8375 vu: ml t0: [10:00:00 02/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 70 vu: ml t0: [10:00:00 02/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 02/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml t0: [10:00:00 02/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [09:00:00 02/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 02/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.041 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 02/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 02/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 02/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.041 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 02/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [11:10:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14873 id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.38 rs: Final st: NotStopd t0: [11:10:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14873 id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -3 rs: Final st: NotStopd t0: [11:10:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14873 id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 21 rs: Final st: NotStopd t0: [11:10:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14873 id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [11:10:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14873 id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 85 u1: mmHg rs: Final st: NotStopd t0: [11:10:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14873 id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.38 rs: Final st: NotStopd
t0: [11:10:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14873 id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.2 rs: Final st: NotStopd t0: [11:10:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14873 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.2 rs: Final st: NotStopd
t0: [11:56:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14827 id: Mixed Venous O2 Blood Gases el: 0 cu: MICU-A cg: 1663 v1: no data rs: Final st: NotStopd t0: [11:56:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14827 id: Mixed Venous O2% Sat Blood Gases el: 0 cu: MICU-A cg: 1663 v1: 78 rs: Final st: NotStopd
tf: [11:00:00 03/11/2011] pt: Unit Dose rt: PO fr: TID W/MEALS fs: 08, 12, 17 dn: 3 m1: Calcium Acetate v1: 1334 u1: mg
t0: [10:00:00 02/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [10:00:00 02/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [10:00:00 02/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [10:00:00 02/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 02/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [10:00:00 02/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 02/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14823 id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 02/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14883 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14823 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [13:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14763 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 02/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14823 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd t0: [11:00:00 02/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 02/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [11:00:00 02/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 02/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 02/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [11:00:00 02/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [11:00:00 02/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 02/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [11:00:00 02/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [11:00:00 02/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 02/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [11:00:00 02/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [11:00:00 02/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [11:00:00 02/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg st: NotStopd t0: [12:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14823 id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14883 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [12:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14823 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 02/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [11:00:00 02/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 02/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [11:00:00 02/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 02/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Nonreactive st: NotStopd t0: [11:00:00 02/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: Fully Dilated st: NotStopd t0: [11:00:00 02/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [11:00:00 02/11/2011] id: RLE/LLE Sensation el: 0 cu: MICU-A cg: RN v1: Absent v2: Absent st: NotStopd t0: [11:00:00 02/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [11:00:00 02/11/2011] id: RUE/LUE Sensation el: 0 cu: MICU-A cg: RN v1: Absent v2: Absent st: NotStopd t0: [11:00:00 02/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [11:00:00 02/11/2011] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: No Response st: NotStopd t0: [11:00:00 02/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 02/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 02/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [11:00:00 02/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 02/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 02/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [12:00:00 02/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [12:00:00 02/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [12:00:00 02/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 02/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 02/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [12:00:00 02/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 02/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [12:00:00 02/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [12:00:00 02/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 02/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 02/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 02/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 02/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 02/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 02/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 02/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 02/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [12:00:00 02/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [12:00:00 02/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [12:00:00 02/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 02/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [12:00:00 02/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 02/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 02/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [12:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14823 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [12:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14823 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [12:00:00 02/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 02/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [12:00:00 02/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 02/11/2011] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [12:00:00 02/11/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14823 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 02/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 02/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [12:00:00 02/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 02/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 02/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 02/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [12:00:00 02/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 02/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14823 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 02/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 02/11/2011] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [12:00:00 02/11/2011] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [12:00:00 02/11/2011] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 02/11/2011] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 02/11/2011] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [12:00:00 02/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [12:00:00 02/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 02/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 02/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 02/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 02/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 02/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 02/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [12:00:00 02/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 02/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [12:00:00 02/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 02/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [12:00:00 02/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14823 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 02/11/2011] id: PresSoreStage/Heal#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis st: NotStopd t0: [12:00:00 02/11/2011] id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: 0.5 cm st: NotStopd t0: [12:00:00 02/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Serous v2: Small st: NotStopd t0: [12:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14823 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [12:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14823 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 02/11/2011] id: INV#1 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [12:00:00 02/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [12:00:00 02/11/2011] id: PressSoreWoundBase#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [12:00:00 02/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 02/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [12:00:00 02/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 02/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [12:00:00 02/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 02/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [12:00:00 02/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 02/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Nonreactive st: NotStopd t0: [12:00:00 02/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: Fully Dilated st: NotStopd t0: [12:00:00 02/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 02/11/2011] id: RLE/LLE Sensation el: 0 cu: MICU-A cg: RN v1: Impaired v2: Impaired st: NotStopd t0: [12:00:00 02/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 02/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 02/11/2011] id: RUE/LUE Sensation el: 0 cu: MICU-A cg: RN v1: Impaired v2: Impaired st: NotStopd t0: [12:00:00 02/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 02/11/2011] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: CT scan st: NotStopd t0: [12:00:00 02/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 02/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 02/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 02/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [12:00:00 02/11/2011] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [12:00:00 02/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 02/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 02/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 02/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 02/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 02/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [12:00:00 02/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 02/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 02/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 02/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 02/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 02/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 02/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14823 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 02/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [12:00:00 02/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.3333 u1: Deg. C st: NotStopd t0: [12:00:00 02/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 95.6 u1: Deg. F st: NotStopd t0: [12:00:00 02/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 02/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [12:00:00 02/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 02/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 02/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 233 rs: Manual st: NotStopd t0: [12:00:00 02/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [12:00:00 02/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 02/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [12:00:00 02/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 02/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [12:00:00 02/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 02/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [12:00:00 02/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 02/11/2011] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [12:00:00 02/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd t0: [13:00:00 02/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [13:00:00 02/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [13:00:00 02/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [13:00:00 02/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 02/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [13:00:00 02/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [13:00:00 02/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [13:00:00 02/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: Fully Dilated st: NotStopd t0: [13:00:00 02/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [13:00:00 02/11/2011] id: RLE/LLE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [13:00:00 02/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [13:00:00 02/11/2011] id: RUE/LUE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [13:00:00 02/11/2011] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [13:00:00 02/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 02/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [13:00:00 02/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [13:00:00 02/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [10:00:00 02/11/2011] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Medium t0: [11:00:00 02/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 02/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 13.8375 vu: ml t0: [11:00:00 02/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vu: ml st: Stopped t0: [11:00:00 02/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 02/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [12:00:00 02/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 250 vu: ml t0: [12:00:00 02/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 02/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 13.8375 vu: ml t0: [12:00:00 02/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 02/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [13:00:00 02/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 02/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 13.8375 vu: ml t0: [13:00:00 02/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 02/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [13:00:00 02/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [11:00:00 02/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.041 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 02/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.041 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 02/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [16:00:00 02/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 02/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 19 t0: [16:00:00 02/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [16:00:00 02/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 02/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 02/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.8 st: NotStopd t0: [16:00:00 02/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 02/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 02/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [16:00:00 02/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [16:00:00 02/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [16:00:00 02/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [16:00:00 02/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.6 u1: L/min st: NotStopd t0: [16:00:00 02/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 02/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [16:00:00 02/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [16:00:00 02/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [16:00:00 02/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [16:00:00 02/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [16:00:00 02/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [16:00:00 02/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 02/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [16:00:00 02/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [16:00:00 02/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 02/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [16:00:00 02/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [13:00:00 02/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 02/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [13:00:00 02/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 02/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 02/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 02/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [13:00:00 02/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [13:00:00 02/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [13:00:00 02/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14763 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [14:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14703 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:30:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14553 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [17:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14523 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 02/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [13:00:00 02/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 02/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [13:00:00 02/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 02/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 02/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [14:00:00 02/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 02/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 02/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 3 u1: mmHg st: NotStopd t0: [14:00:00 02/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 02/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 02/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 02/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [14:00:00 02/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [14:00:00 02/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 02/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [14:00:00 02/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 02/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [14:00:00 02/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 02/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 02/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 02/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [14:00:00 02/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [14:00:00 02/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [14:00:00 02/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [14:00:00 02/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [14:00:00 02/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 02/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 02/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 02/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [14:00:00 02/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 02/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [14:00:00 02/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 02/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [14:00:00 02/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 02/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [14:00:00 02/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: Fully Dilated st: NotStopd t0: [14:00:00 02/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [14:00:00 02/11/2011] id: RLE/LLE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [14:00:00 02/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [14:00:00 02/11/2011] id: RUE/LUE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [14:00:00 02/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 02/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 02/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [14:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14703 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [15:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14643 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [17:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14523 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 02/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 02/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 02/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 02/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 02/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [14:00:00 02/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [14:00:00 02/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 02/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 02/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [15:00:00 02/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [15:00:00 02/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [15:00:00 02/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [15:00:00 02/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: Fully Dilated st: NotStopd t0: [15:00:00 02/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [15:00:00 02/11/2011] id: RLE/LLE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [15:00:00 02/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [15:00:00 02/11/2011] id: RUE/LUE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [15:00:00 02/11/2011] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [15:00:00 02/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 02/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 02/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [16:00:00 02/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 02/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 02/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 02/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 02/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 02/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 02/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 02/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 02/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:30:00 02/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:30:00 02/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:30:00 02/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:30:00 02/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [16:30:00 02/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:30:00 02/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:30:00 02/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [16:30:00 02/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:30:00 02/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [16:30:00 02/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [16:30:00 02/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:30:00 02/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [16:30:00 02/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:30:00 02/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [16:30:00 02/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:30:00 02/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:30:00 02/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 02/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [17:00:00 02/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [17:00:00 02/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [17:00:00 02/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [17:00:00 02/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [17:00:00 02/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 02/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [17:00:00 02/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 02/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [17:00:00 02/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [17:00:00 02/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 02/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [17:00:00 02/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [17:00:00 02/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [17:00:00 02/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [17:00:00 02/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 02/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 02/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [17:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14523 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [17:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14523 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [17:00:00 02/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 02/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [17:00:00 02/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 02/11/2011] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [17:00:00 02/11/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [17:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14523 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [17:00:00 02/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 02/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [17:00:00 02/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [17:00:00 02/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [17:00:00 02/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 02/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [17:00:00 02/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [17:00:00 02/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [17:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14523 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [17:00:00 02/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [17:00:00 02/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 02/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 02/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [17:00:00 02/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [17:00:00 02/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [17:00:00 02/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [17:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14523 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 02/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [17:00:00 02/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [17:00:00 02/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [17:00:00 02/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [17:00:00 02/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [17:00:00 02/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 02/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:00:00 02/11/2011] id: INV#1 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [17:00:00 02/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [17:00:00 02/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [17:00:00 02/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 02/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [17:00:00 02/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 02/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [17:00:00 02/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 02/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [17:00:00 02/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [17:00:00 02/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [17:00:00 02/11/2011] id: RLE/LLE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [17:00:00 02/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [17:00:00 02/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [17:00:00 02/11/2011] id: RUE/LUE Sensation el: 0 cu: MICU-A cg: RN v1: Intact v2: Intact st: NotStopd t0: [17:00:00 02/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Ins/Exp Wheeze st: NotStopd t0: [17:00:00 02/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [17:00:00 02/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:00:00 02/11/2011] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [17:00:00 02/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 02/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 02/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [17:00:00 02/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [17:00:00 02/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [17:00:00 02/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [17:00:00 02/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [17:00:00 02/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [17:00:00 02/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [17:00:00 02/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 02/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [17:00:00 02/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [17:00:00 02/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [17:00:00 02/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 02/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [17:00:00 02/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [17:00:00 02/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [17:00:00 02/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [17:00:00 02/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [17:00:00 02/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [17:00:00 02/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [17:00:00 02/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [17:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14523 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [17:00:00 02/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [15:00:00 02/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [15:00:00 02/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 27.675 vu: ml t0: [15:00:00 02/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 02/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [15:00:00 02/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml t0: [16:30:00 02/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [17:00:00 02/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 300 vu: ml t0: [17:00:00 02/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [17:00:00 02/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 27.675 vu: ml t0: [17:00:00 02/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 02/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [17:00:00 02/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml
t0: [13:00:00 02/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.041 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 02/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.041 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:30:00 02/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.041 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 02/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.041 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:30:00 02/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:30:00 02/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:30:00 02/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:30:00 02/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [17:30:00 02/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [17:30:00 02/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:30:00 02/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [17:30:00 02/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:30:00 02/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:30:00 02/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [17:30:00 02/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [17:30:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14493 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [17:30:00 02/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:30:00 02/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [17:30:00 02/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:30:00 02/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [17:30:00 02/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:30:00 02/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [17:30:00 02/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [17:30:00 02/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 02/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 02/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 02/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 02/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 02/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 02/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 02/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 02/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:30:00 02/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:30:00 02/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 02/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 02/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:30:00 02/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.041 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped
id: Propofol el: 100 cu: MICU-A cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip
io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ra: 10.8 ru: ml/hr
tf: [23:00:00 04/11/2011] pt: IV Piggyback rt: IV fr: Q8H fs: 2, 10, 18 dn: 3 m1: Hydrocortisone Na Succ. v1: 12.5 u1: mg m2: Syringe v2: 1 u2: SYR tf: [09:00:00 05/11/2011] pt: Unit Dose rt: IV DRIP fr: TITRATE TO m1: Propofol v1: 1000 u1: mg
id: N/A el: 1 cu: MICU-A cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push
t0: [14:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14703 id: Procedures el: 0 cu: MICU-A cg: RN v1: MRI st: NotStopd t0: [18:00:00 02/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 02/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 02/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 02/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [18:00:00 02/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [18:00:00 02/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 02/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [18:00:00 02/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 02/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [18:00:00 02/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [18:00:00 02/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14463 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [18:30:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14433 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 02/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [18:00:00 02/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:00:00 02/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [18:00:00 02/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 02/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [18:00:00 02/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 02/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 193 rs: Manual st: NotStopd t0: [18:30:00 02/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:30:00 02/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:30:00 02/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:30:00 02/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [18:30:00 02/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [18:30:00 02/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:30:00 02/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [18:30:00 02/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:30:00 02/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [18:30:00 02/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [18:30:00 02/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [18:30:00 02/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [18:30:00 02/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:30:00 02/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [18:30:00 02/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:30:00 02/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [18:30:00 02/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:30:00 02/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:30:00 02/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [18:30:00 02/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 02/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vu: ml st: Stopped t0: [08:00:00 02/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vu: ml t0: [09:00:00 02/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vu: ml t0: [10:00:00 02/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vu: ml t0: [11:00:00 02/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vu: ml t0: [12:00:00 02/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vu: ml t0: [13:00:00 02/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vu: ml t0: [15:00:00 02/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vu: ml t0: [17:00:00 02/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vu: ml t0: [18:00:00 02/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 02/11/2011] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 0 vu: ml nb: 1 t0: [18:00:00 02/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 13.8375 vu: ml t0: [18:00:00 02/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 155 vu: ml
t0: [18:00:00 02/11/2011] tf: [00:00:00 03/11/2011] dt: 360 id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:30:00 02/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [19:00:00 02/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 02/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 02/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 02/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [19:00:00 02/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [19:00:00 02/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 02/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [19:00:00 02/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 02/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [19:00:00 02/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [19:00:00 02/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [19:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14403 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [20:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14343 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [19:00:00 02/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [19:00:00 02/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 02/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [19:00:00 02/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 02/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [19:00:00 02/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 02/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 02/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 02/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 02/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 02/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg st: NotStopd t0: [20:00:00 02/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 02/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 02/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [20:00:00 02/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 02/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 02/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 02/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 02/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [20:00:00 02/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 02/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 02/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 02/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 02/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [20:00:00 02/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [20:00:00 02/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 02/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 02/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 02/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 02/11/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [20:00:00 02/11/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [20:00:00 02/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [20:00:00 02/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [20:00:00 02/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 02/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [20:00:00 02/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 02/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [20:00:00 02/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:00:00 02/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [20:00:00 02/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 02/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [20:00:00 02/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 02/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 02/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 02/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 02/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 02/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 02/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 02/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [20:00:00 02/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [20:00:00 02/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 02/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 02/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.7778 u1: Deg. C st: NotStopd t0: [20:00:00 02/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.4 u1: Deg. F st: NotStopd t0: [20:00:00 02/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 02/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 02/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 02/11/2011] tf: [00:00:00 03/11/2011] dt: 240 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 17.55 vu: ml t0: [20:00:00 02/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [19:00:00 02/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 02/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [20:00:00 02/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 02/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 19 t0: [20:00:00 02/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [20:00:00 02/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 02/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 02/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 02/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 02/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [20:00:00 02/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [20:00:00 02/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [20:00:00 02/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [20:00:00 02/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.7 u1: L/min st: NotStopd t0: [20:00:00 02/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 02/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:00:00 02/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [20:00:00 02/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [20:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14343 id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [20:00:00 02/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [20:00:00 02/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [20:00:00 02/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:00:00 02/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 02/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [20:00:00 02/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [20:00:00 02/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 02/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [20:00:00 02/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 02/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 02/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 02/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [20:00:00 02/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 02/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 02/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [20:00:00 02/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 02/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 02/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 02/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 02/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [20:00:00 02/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [20:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14343 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [20:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14343 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [20:00:00 02/11/2011] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [20:00:00 02/11/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14343 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 02/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 02/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [20:00:00 02/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 02/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 02/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 02/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [20:00:00 02/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 02/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14343 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Dampened st: NotStopd t0: [20:00:00 02/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 02/11/2011] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [20:00:00 02/11/2011] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 02/11/2011] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [20:00:00 02/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [20:00:00 02/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 02/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 02/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 02/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 02/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [20:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14343 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 02/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 02/11/2011] id: INV#1 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [20:00:00 02/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [20:00:00 02/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 02/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 02/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 02/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Ins/Exp Wheeze st: NotStopd t0: [20:00:00 02/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 02/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 02/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14343 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Sternal Rub v2: No Response st: NotStopd t0: [20:00:00 02/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 02/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 02/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 02/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 02/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 02/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14343 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [20:00:00 02/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 02/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 02/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [20:00:00 02/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [20:00:00 02/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 02/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 02/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 02/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 02/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 02/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 02/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14343 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [20:00:00 02/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [20:00:00 02/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vu: ml nb: 1
t0: [20:00:00 02/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16803 id: Previous WeightF el: 0 cu: MICU-A cg: 1663 u1: kg st: NotStopd t0: [11:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16323 id: Previous WeightF el: 0 cu: MICU-A cg: 1663 u1: kg st: NotStopd t0: [20:46:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14297 id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.2 rs: Final st: NotStopd t0: [20:46:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14297 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.2 rs: Final st: NotStopd
t0: [23:00:00 02/11/2011] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: 1663 cv: 0 ap: carryForward t0: [23:00:00 02/11/2011] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU-A cg: 1663 cv: 250 ap: none
t0: [05:21:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15222 id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.8 rs: Final st: NotStopd t0: [05:21:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15222 id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.04 rs: Final st: NotStopd t0: [05:21:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 15222 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.8 rs: Final st: NotStopd t0: [21:00:00 02/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 02/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 4 u1: mmHg st: NotStopd t0: [21:00:00 02/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 02/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 02/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 02/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 02/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 02/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 02/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [21:00:00 02/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 02/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 02/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14283 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 02/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [21:00:00 02/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [21:00:00 02/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [21:00:00 02/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [21:00:00 02/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14283 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [21:00:00 02/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:00:00 02/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [21:00:00 02/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 02/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [21:00:00 02/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 02/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [21:00:00 02/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 02/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [21:00:00 02/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [21:00:00 02/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [21:00:00 02/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 02/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 02/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 02/11/2011] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 5.4 vu: ml t0: [21:00:00 02/11/2011] tf: [00:00:00 04/11/2011] dt: 1620 id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 20 vu: ml t0: [21:00:00 02/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [21:00:00 02/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:32:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14311 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 26.2 rs: Final st: NotStopd t0: [20:32:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14311 id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 26.2 rs: Final st: NotStopd t0: [20:32:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14311 id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 31.3 u1: % rs: Final st: NotStopd t0: [20:32:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14311 id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.9 u1: gm/dl rs: Final st: NotStopd t0: [20:32:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14311 id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 68 rs: Final st: NotStopd t0: [20:32:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14311 id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.49 u1: /mic l rs: Final st: NotStopd t0: [20:32:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14311 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 26.2 rs: Final st: NotStopd
t0: [21:45:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14238 id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
t0: [22:00:00 02/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [22:00:00 02/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [22:00:00 02/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 02/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [22:00:00 02/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 02/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 02/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 02/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [22:00:00 02/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 02/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 02/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 02/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 02/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [22:00:00 02/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [22:00:00 02/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 02/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 02/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 02/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [22:00:00 02/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [22:00:00 02/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [22:00:00 02/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 02/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14223 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [22:00:00 02/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:00:00 02/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [22:00:00 02/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 02/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [22:00:00 02/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 02/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [22:00:00 02/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [22:00:00 02/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 02/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 02/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 02/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14223 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Flexion st: NotStopd t0: [22:00:00 02/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 02/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 02/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 02/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 02/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 02/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 02/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [22:00:00 02/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [22:00:00 02/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.4444 u1: Deg. C st: NotStopd t0: [22:00:00 02/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 95.8 u1: Deg. F st: NotStopd t0: [22:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14223 id: WarmingDevice/Status el: 0 cu: MICU-A cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [22:00:00 02/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 02/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [22:00:00 02/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 02/11/2011] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 5.4 vu: ml t0: [22:00:00 02/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vu: ml nb: 1 t0: [22:00:00 02/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 20 vu: ml t0: [22:00:00 02/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 10 vu: ml
t0: [22:00:00 02/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:47:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14176 id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
t0: [22:00:00 02/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 4 u1: mmHg st: NotStopd t0: [23:00:00 02/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 02/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [23:00:00 02/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 02/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 02/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 02/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 02/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 02/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [23:00:00 02/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 02/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [23:00:00 02/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [23:00:00 02/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 02/11/2011] tf: [19:03:00 12/11/2011] dt: 14163 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [23:00:00 02/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 02/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [23:00:00 02/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 02/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [23:00:00 02/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 02/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 02/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 02/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 02/11/2011] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 8.1 vu: ml t0: [23:00:00 02/11/2011] tf: [02:00:00 03/11/2011] dt: 180 id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 125 vu: ml t0: [23:00:00 02/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 20 vu: ml t0: [23:00:00 02/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 35 vu: ml
t0: [23:00:00 02/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [23:00:00 02/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.6111 u1: Deg. C st: NotStopd t0: [23:00:00 02/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.1 u1: Deg. F st: NotStopd
t0: [00:00:00 03/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [00:00:00 03/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 03/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 19 t0: [00:00:00 03/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 03/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 03/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 03/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 03/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 03/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 37 u1: Deg. C st: NotStopd t0: [00:00:00 03/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [00:00:00 03/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [00:00:00 03/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [00:00:00 03/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11 u1: L/min st: NotStopd t0: [00:00:00 03/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 03/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [00:00:00 03/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [00:00:00 03/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 14103 id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [00:00:00 03/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [00:00:00 03/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:00:00 03/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:00:00 03/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 03/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 03/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 03/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 556 u1: ml/B st: NotStopd t0: [00:00:00 03/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [00:00:00 03/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 03/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [00:00:00 03/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 03/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 03/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 03/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [00:00:00 03/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 03/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 03/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 03/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [00:00:00 03/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 03/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [00:00:00 03/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 03/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 03/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 03/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [00:00:00 03/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 03/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 03/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 03/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 03/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 03/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 03/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 03/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [00:00:00 03/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 03/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [00:00:00 03/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 03/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [00:00:00 03/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 03/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 03/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [00:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 14103 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [00:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 14103 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [00:00:00 03/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [00:00:00 03/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 03/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [00:00:00 03/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 03/11/2011] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [00:00:00 03/11/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 14103 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 03/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 03/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [00:00:00 03/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 03/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 03/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 03/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [00:00:00 03/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 03/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 14103 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 03/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 03/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 03/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 03/11/2011] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [00:00:00 03/11/2011] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 03/11/2011] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [00:00:00 03/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [00:00:00 03/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 03/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 03/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 03/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 03/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 03/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 14103 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 03/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [00:00:00 03/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [00:00:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [00:00:00 03/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 03/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [00:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 14103 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 03/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 03/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 03/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 03/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 14103 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 03/11/2011] id: INV#1 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [00:00:00 03/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [00:00:00 03/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 14103 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [00:00:00 03/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:00:00 03/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [00:00:00 03/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 03/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [00:00:00 03/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 03/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 03/11/2011] id: RLE/LLE Sensation el: 0 cu: MICU-A cg: RN v1: Impaired v2: Impaired st: NotStopd t0: [00:00:00 03/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 03/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 03/11/2011] id: RUE/LUE Sensation el: 0 cu: MICU-A cg: RN v1: Impaired v2: Impaired st: NotStopd t0: [00:00:00 03/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Ins/Exp Wheeze st: NotStopd t0: [00:00:00 03/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 03/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 03/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 03/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [00:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 14103 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Other/Remarks v2: Localizes st: NotStopd t0: [00:00:00 03/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 03/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 03/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 03/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 03/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 03/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 03/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [00:00:00 03/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 03/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 03/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [00:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 14103 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [00:00:00 03/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 03/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [00:00:00 03/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 03/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 03/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [00:00:00 03/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 03/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 14103 id: WarmingDevice/Status el: 0 cu: MICU-A cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [00:00:00 03/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 03/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [00:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 14103 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [00:00:00 03/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [00:00:00 03/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 60 vu: ml t0: [00:00:00 03/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 03/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 125 vu: ml t0: [00:00:00 03/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 20 vu: ml
t0: [23:00:00 02/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 03/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 03/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [00:00:00 03/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWkr v1: 145 rs: Manual st: NotStopd
t0: [00:00:00 03/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [00:20:00 03/11/2011] tf: [14:00:00 03/11/2011] dt: 820 id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 02/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [23:00:00 02/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:00:00 03/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [01:00:00 03/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 03/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [01:00:00 03/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 03/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 03/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 03/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 03/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 03/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [01:00:00 03/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [01:00:00 03/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [01:00:00 03/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 14043 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [01:00:00 03/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:00:00 03/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [01:00:00 03/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 03/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [01:00:00 03/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 03/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [01:00:00 03/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [01:00:00 03/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [01:00:00 03/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [01:00:00 03/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [01:00:00 03/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 03/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 03/11/2011] tf: [18:00:00 03/11/2011] dt: 1020 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 5.4 vu: ml t0: [01:00:00 03/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 100 vu: ml t0: [01:00:00 03/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 11.3625 vu: ml t0: [01:00:00 03/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 30 vu: ml t0: [01:00:00 03/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [01:00:00 03/11/2011] tf: [15:00:00 03/11/2011] dt: 840 id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [01:00:00 03/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [01:00:00 03/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [00:00:00 03/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 03/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [01:00:00 03/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 03/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 03/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 03/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [01:00:00 03/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 03/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [01:00:00 03/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [01:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 14043 id: WarmingDevice/Status el: 0 cu: MICU-A cg: RN v1: Bair Hugger v2: Off st: NotStopd t0: [02:00:00 03/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 03/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 03/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [02:00:00 03/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 03/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 03/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 03/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 03/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [02:00:00 03/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [02:00:00 03/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 6 u1: points st: NotStopd t0: [02:00:00 03/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [02:00:00 03/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [02:00:00 03/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 03/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 03/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 03/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [02:00:00 03/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [02:00:00 03/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [02:00:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:00:00 03/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [02:00:00 03/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13983 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [02:00:00 03/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [02:00:00 03/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [02:00:00 03/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 03/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [02:00:00 03/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 03/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [02:00:00 03/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [02:00:00 03/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 03/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 03/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [02:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13983 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 03/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 03/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 03/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [02:00:00 03/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Plug st: NotStopd t0: [02:00:00 03/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [02:00:00 03/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 03/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 02/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vu: ml t0: [21:00:00 02/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vu: ml t0: [22:00:00 02/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vu: ml t0: [23:00:00 02/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vu: ml t0: [00:00:00 03/11/2011] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 5.4 vu: ml st: Stopped t0: [00:00:00 03/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vu: ml t0: [01:00:00 03/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 03/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [02:00:00 03/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 03/11/2011] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 5.4 vu: ml t0: [02:00:00 03/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 13.5 vu: ml t0: [02:00:00 03/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 30 vu: ml t0: [02:00:00 03/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [01:00:00 03/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip st: Stopped t0: [01:00:00 03/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 03/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip st: Stopped t0: [02:00:00 03/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 03/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:00:00 03/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [02:00:00 03/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 03/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 03/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 03/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 03/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 03/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 03/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 03/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 03/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 03/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 03/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 03/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 03/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 03/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 03/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 03/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [03:00:00 03/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [03:00:00 03/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [03:00:00 03/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13923 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [03:00:00 03/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [03:00:00 03/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [03:00:00 03/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 03/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [03:00:00 03/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 03/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [03:00:00 03/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 03/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 03/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vu: ml st: Stopped t0: [02:00:00 03/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vu: ml st: Stopped t0: [02:00:00 03/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vu: ml st: Stopped t0: [03:00:00 03/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 03/11/2011] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 10.8 vu: ml t0: [03:00:00 03/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.875 vu: ml t0: [03:00:00 03/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 30 vu: ml t0: [03:00:00 03/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [03:00:00 03/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 03/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16503 id: Previous WeightF el: 0 cu: MICU-A cg: 1663 u1: kg st: NotStopd t0: [09:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16443 id: Previous Weight el: 0 cu: MICU-A cg: 1663 v1: 89 u1: kg st: NotStopd t0: [09:00:00 01/11/2011] tf: [19:03:00 12/11/2011] dt: 16443 id: Previous WeightF el: 0 cu: MICU-A cg: 1663 u1: kg st: NotStopd t0: [03:25:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13898 id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd t0: [03:25:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13898 id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -2 rs: Final st: NotStopd t0: [03:25:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13898 id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [03:25:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13898 id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [03:25:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13898 id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 87 u1: mmHg rs: Final st: NotStopd t0: [03:25:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13898 id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.41 rs: Final st: NotStopd
t0: [23:00:00 03/11/2011] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: 1663 cv: 225 ap: none
t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 31.5 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 31.5 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 33.6 u1: % rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.4 u1: gm/dl rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 76 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.78 u1: /mic l rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 31.5 rs: Final st: NotStopd
t0: [04:00:00 03/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Changed st: NotStopd t0: [04:00:00 03/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [04:00:00 03/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [04:00:00 03/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [04:00:00 03/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 03/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 03/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [04:00:00 03/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 03/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [04:00:00 03/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 03/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 03/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 03/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 03/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 03/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 03/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 03/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 03/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 03/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 03/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 03/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [04:00:00 03/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 03/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [04:00:00 03/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 03/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 03/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13863 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [04:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13863 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [04:00:00 03/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [04:00:00 03/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [04:00:00 03/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 03/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 03/11/2011] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [04:00:00 03/11/2011] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 03/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [04:00:00 03/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 03/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 03/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 03/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 03/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 03/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 03/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [04:00:00 03/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [04:00:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [04:00:00 03/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 03/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [04:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13863 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 03/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 03/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13863 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 03/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13863 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [04:00:00 03/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [04:00:00 03/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [04:00:00 03/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 03/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [04:00:00 03/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 03/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 03/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 03/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 03/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 03/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 03/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [04:00:00 03/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 03/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 03/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 03/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13863 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 03/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 03/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 03/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 03/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 03/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 03/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 03/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 03/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [04:00:00 03/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 03/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [04:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13863 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [04:00:00 03/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 03/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 03/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [04:00:00 03/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [04:00:00 03/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 03/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [04:00:00 03/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 03/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 03/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [04:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13863 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [04:00:00 03/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [04:00:00 03/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 9 vu: ml t0: [04:00:00 03/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 03/11/2011] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 10.8 vu: ml t0: [04:00:00 03/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.875 vu: ml t0: [04:00:00 03/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 30 vu: ml t0: [04:00:00 03/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 15 vu: ml
t0: [04:00:00 03/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 03/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:05:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13858 id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: BUN el: 0 cu: MICU-A cg: 1663 v1: 49 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 103 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 129 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.2 u1: mEq/L rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 134 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 57 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 64 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 495 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 49 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 103 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 129 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 519 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.2 u1: mEq/L rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 134 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.2 rs: Final st: NotStopd
t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: PT el: 0 cu: MICU-A cg: 1663 v1: 12.7 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Fibrinogen Coags el: 0 cu: MICU-A cg: 1663 v1: 135 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 36.1 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Fibrinogen (150-400) Coags el: 0 cu: MICU-A cg: 1663 v1: 135 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.7 rs: Final st: NotStopd t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 36.1 rs: Final st: NotStopd
t0: [04:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13863 id: BATH el: 0 cu: MICU-A cg: RN v1: Done t0: [04:00:00 03/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [04:00:00 03/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [04:00:00 03/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 03/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 03/11/2011] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [04:00:00 03/11/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 03/11/2011] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 03/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [04:00:00 03/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 03/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 03/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 03/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [04:00:00 03/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13863 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 03/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 03/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 03/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13863 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 03/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [04:00:00 03/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13863 id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [04:00:00 03/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [04:00:00 03/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 23 st: NotStopd t0: [04:00:00 03/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 03/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [04:00:00 03/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 03/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 03/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [05:00:00 03/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd
t0: [05:00:00 03/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 03/11/2011] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 10.8 vu: ml t0: [05:00:00 03/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.875 vu: ml t0: [05:00:00 03/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 40 vu: ml t0: [05:00:00 03/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 90 vu: ml t0: [05:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13803 id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [05:00:00 03/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [23:00:00 03/11/2011] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 100 ap: none
t0: [00:19:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [05:00:00 03/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 03/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 03/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 03/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 03/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 03/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 03/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [05:00:00 03/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [05:00:00 03/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [05:00:00 03/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13803 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [05:00:00 03/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [05:00:00 03/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [05:00:00 03/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 03/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [05:00:00 03/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 03/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 03/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 03/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 03/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 03/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 30.5556 u1: ml/cmH st: NotStopd t0: [04:00:00 03/11/2011] id: RSBI (<100) el: 0 cu: MICU-A cg: RRT v1: 115.702 u1: units st: NotStopd t0: [04:00:00 03/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 03/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 19 t0: [04:00:00 03/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [04:00:00 03/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 03/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 03/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 03/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 03/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 37.1 u1: Deg. C st: NotStopd t0: [04:00:00 03/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [04:00:00 03/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [04:00:00 03/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [04:00:00 03/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 15.8 u1: L/min st: NotStopd t0: [04:00:00 03/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 03/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [04:00:00 03/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [04:00:00 03/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [04:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13863 id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [04:00:00 03/11/2011] id: RSBI (<200) el: 0 cu: MICU-A cg: RRT v1: 115.702 u1: units st: NotStopd t0: [04:00:00 03/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 03/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 26 u1: BPM st: NotStopd t0: [04:00:00 03/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:00:00 03/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 03/11/2011] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: RRT v1: 42 u1: BPM st: NotStopd t0: [04:00:00 03/11/2011] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: RRT v1: 0.363 u1: L st: NotStopd t0: [04:00:00 03/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 551 u1: ml/B st: NotStopd t0: [04:00:00 03/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [04:00:00 03/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 03/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [04:00:00 03/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [06:00:00 03/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWkr v1: 132 rs: Manual st: NotStopd
t0: [05:00:00 03/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [06:00:00 03/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 03/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [06:00:00 03/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 03/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 03/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 03/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 03/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [06:00:00 03/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [06:00:00 03/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [06:00:00 03/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [06:00:00 03/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 03/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 03/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 03/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [06:00:00 03/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [06:00:00 03/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [06:00:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [06:00:00 03/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 57 u1: mmHg st: NotStopd t0: [06:00:00 03/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13743 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [06:00:00 03/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [06:00:00 03/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [06:00:00 03/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 03/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [06:00:00 03/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 03/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [06:00:00 03/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [06:00:00 03/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 03/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 03/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [06:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13743 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v2: Localizes st: NotStopd t0: [06:00:00 03/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 03/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 03/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [06:00:00 03/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [06:00:00 03/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [06:00:00 03/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [06:00:00 03/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [06:00:00 03/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 03/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 03/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 03/11/2011] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 10.8 vu: ml t0: [06:00:00 03/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.875 vu: ml t0: [06:00:00 03/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 40 vu: ml t0: [06:00:00 03/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [06:00:00 03/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 03/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 03/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [06:00:00 03/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [06:00:00 03/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 03/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 03/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [06:00:00 03/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [06:00:00 03/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [07:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13683 id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 03/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 03/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 03/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 03/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 03/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [07:00:00 03/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 03/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [07:00:00 03/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 03/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 03/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [07:00:00 03/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [07:00:00 03/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 03/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [07:00:00 03/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [07:00:00 03/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [07:00:00 03/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13683 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [07:00:00 03/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [07:00:00 03/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [07:00:00 03/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [07:00:00 03/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [07:00:00 03/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 03/11/2011] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [07:00:00 03/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [07:00:00 03/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 03/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 03/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 03/11/2011] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 10.8 vu: ml t0: [07:00:00 03/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.875 vu: ml t0: [07:00:00 03/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 40 vu: ml t0: [07:00:00 03/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [00:00:00 03/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip st: Stopped t0: [07:00:00 03/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13863 id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd
t0: [07:00:00 03/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:02:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13921 id: Vancomycin/Random Drug Level el: 0 cu: MICU-A cg: 1663 v1: 21.6 rs: Final st: NotStopd
tf: [12:00:00 03/11/2011] pt: IV Piggyback rt: IV fr: 2X dn: 0 m1: Potassium Chloride v1: 20 u1: mEq m2: SW v2: 50 u2: ml tf: [07:00:00 04/11/2011] pt: Unit Dose rt: IV fr: ONCE fs: 8 dn: 1 m1: Calcium Gluconate v1: 2 u1: gm
t0: [08:00:00 03/11/2011] id: Service Type el: 0 cu: MICU-A cg: RRT v1: MICU st: NotStopd t0: [08:00:00 03/11/2011] id: CVP el: 0 cu: MICU-A cg: RRT v1: 8 u1: mmHg st: NotStopd t0: [08:00:00 03/11/2011] id: Code Status el: 0 cu: MICU-A cg: RRT v1: Full Code st: NotStopd t0: [08:00:00 03/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RRT v1: Sedated st: NotStopd t0: [08:00:00 03/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:00:00 03/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [08:00:00 03/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [08:00:00 03/11/2011] id: Alarms el: 0 cu: MICU-A cg: RRT v1: ON st: NotStopd t0: [08:00:00 03/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:00:00 03/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:00:00 03/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RRT v1: 102 u1: BPM st: NotStopd t0: [08:00:00 03/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RRT v1: Sinus Tachy st: NotStopd t0: [08:00:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RRT v1: 135 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [08:00:00 03/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RRT v1: 81 u1: mmHg st: NotStopd t0: [08:00:00 03/11/2011] id: Precautions el: 0 cu: MICU-A cg: RRT v1: Universal st: NotStopd t0: [08:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13623 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RRT v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [08:00:00 03/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RRT v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 03/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RRT v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [08:00:00 03/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RRT v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 03/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [08:00:00 03/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RRT v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 03/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [08:00:00 03/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [08:00:00 03/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RRT v1: 1 u1: kg st: NotStopd
t0: [08:00:00 03/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RRT so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 03/11/2011] id: Propofol el: 1 cu: MICU-A cg: RRT so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 03/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 28.9474 u1: ml/cmH st: NotStopd t0: [08:00:00 03/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 03/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 19 t0: [08:00:00 03/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [08:00:00 03/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 03/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 03/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 03/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 03/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 36.5 u1: Deg. C st: NotStopd t0: [08:00:00 03/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [08:00:00 03/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [08:00:00 03/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 03/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 14.9 u1: L/min st: NotStopd t0: [08:00:00 03/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 03/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [08:00:00 03/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [08:00:00 03/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [08:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13623 id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [08:00:00 03/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 9 u1: BPM st: NotStopd t0: [08:00:00 03/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 25 u1: BPM st: NotStopd t0: [08:00:00 03/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:00:00 03/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 03/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [08:00:00 03/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [08:00:00 03/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 03/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [08:00:00 03/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 03/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 03/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 03/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [08:00:00 03/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [08:00:00 03/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13623 id: BATH el: 0 cu: MICU-A cg: RN v1: done t0: [08:00:00 03/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [08:00:00 03/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 03/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 03/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 03/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 03/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 03/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 03/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [08:00:00 03/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [08:00:00 03/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 03/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 03/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13623 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [08:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13623 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [08:00:00 03/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [08:00:00 03/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 03/11/2011] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [08:00:00 03/11/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13623 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 03/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 03/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [08:00:00 03/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 03/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 03/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 03/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [08:00:00 03/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 03/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13623 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 03/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 03/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 03/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 03/11/2011] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [08:00:00 03/11/2011] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 03/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [08:00:00 03/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 03/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 03/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 03/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13623 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 03/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [08:00:00 03/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [08:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13623 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [08:00:00 03/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 03/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 03/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13623 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13623 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Dermagran st: NotStopd t0: [08:00:00 03/11/2011] id: INV#1 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [08:00:00 03/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [08:00:00 03/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 23 st: NotStopd t0: [08:00:00 03/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 03/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 03/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 03/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 03/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 03/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 03/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 03/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 03/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13623 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [08:00:00 03/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 03/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 03/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 03/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 03/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 03/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 03/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 03/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 03/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 03/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [08:00:00 03/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13623 id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [08:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13623 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [08:00:00 03/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 03/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 03/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [08:00:00 03/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [08:00:00 03/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [08:00:00 03/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 03/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 03/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [08:00:00 03/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 03/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13623 id: WarmingDevice/Status el: 0 cu: MICU-A cg: RN v2: Off st: NotStopd t0: [08:00:00 03/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 03/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 03/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 03/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 03/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [08:00:00 03/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 03/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [08:00:00 03/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd t0: [08:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13623 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [08:00:00 03/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [08:00:00 03/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 0 vu: ml t0: [08:00:00 03/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 03/11/2011] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 10.8 vu: ml t0: [08:00:00 03/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 13.5 vu: ml t0: [08:00:00 03/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 40 vu: ml t0: [08:00:00 03/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [09:00:00 03/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 03/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 03/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 03/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 03/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 03/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 03/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [09:00:00 03/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [09:00:00 03/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [09:00:00 03/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13563 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [10:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13503 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13443 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [09:00:00 03/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 03/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [09:00:00 03/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 03/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 6 u1: BPM st: NotStopd t0: [09:00:00 03/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 03/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 03/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 03/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 03/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 03/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 03/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 03/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 03/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [10:00:00 03/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 155 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [10:00:00 03/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [10:00:00 03/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 03/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [10:00:00 03/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 03/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [10:00:00 03/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 03/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [10:00:00 03/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 03/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [10:00:00 03/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 03/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [10:00:00 03/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 03/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 03/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 03/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 03/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 03/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 03/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 03/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 03/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 107 u1: BPM st: NotStopd t0: [11:00:00 03/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 180 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [11:00:00 03/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg st: NotStopd t0: [11:00:00 03/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 03/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [11:00:00 03/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 03/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [11:00:00 03/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 03/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [11:00:00 03/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 03/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 03/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 03/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 03/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 03/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 03/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 03/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 03/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 200 vu: ml t0: [09:00:00 03/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [10:00:00 03/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 100 vu: ml t0: [11:00:00 03/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [11:00:00 03/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [11:00:00 03/11/2011] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 32.4 vu: ml t0: [11:00:00 03/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 30.375 vu: ml t0: [11:00:00 03/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 240 vu: ml nb: 1 t0: [11:00:00 03/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [11:00:00 03/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.5 u1: ml/cmH st: NotStopd t0: [11:00:00 03/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [11:00:00 03/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 20 t0: [11:00:00 03/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [11:00:00 03/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [11:00:00 03/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [11:00:00 03/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [11:00:00 03/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [11:00:00 03/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 36 u1: Deg. C st: NotStopd t0: [11:00:00 03/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [11:00:00 03/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [11:00:00 03/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [11:00:00 03/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 15 u1: L/min st: NotStopd t0: [11:00:00 03/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:00:00 03/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [11:00:00 03/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [11:00:00 03/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [11:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13443 id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [11:00:00 03/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 9 u1: BPM st: NotStopd t0: [11:00:00 03/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 25 u1: BPM st: NotStopd t0: [11:00:00 03/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [11:00:00 03/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:00:00 03/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [11:00:00 03/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [11:00:00 03/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [11:00:00 03/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [11:00:00 03/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [11:00:00 03/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [11:00:00 03/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [11:25:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13418 id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.3 rs: Final st: NotStopd t0: [11:25:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13418 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.3 rs: Final st: NotStopd
t0: [12:00:00 03/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 03/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [12:00:00 03/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 03/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 03/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 03/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 03/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [12:00:00 03/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 03/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13383 id: Family Communication el: 0 cu: MICU-A cg: RN v1: Fam Talked to MD st: NotStopd t0: [12:00:00 03/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 101 u1: BPM st: NotStopd t0: [12:00:00 03/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [12:00:00 03/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [12:00:00 03/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13383 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [12:00:00 03/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 03/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [12:00:00 03/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 03/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [12:00:00 03/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 03/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:00:00 03/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 03/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 03/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [12:00:00 03/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [12:00:00 03/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 03/11/2011] id: D5W 100.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 105 vo: 0 st: D/C'd t0: [12:00:00 03/11/2011] id: Normal Saline_GU GU Irrigant el: 1 cu: MICU-A cg: -1 ai: 591 vo: 0 st: D/C'd
t0: [12:00:00 03/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [14:00:00 12/11/2011] pt: Unit Dose rt: PO fr: TID W/MEALS fs: 08, 12, 17 dn: 3 m1: Calcium Acetate v1: 2668 u1: mg
t0: [10:00:00 03/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [10:00:00 03/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 03/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 03/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [10:00:00 03/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [10:00:00 03/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [12:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13383 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 03/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [10:00:00 03/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 03/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13383 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 03/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 03/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 03/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13503 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 03/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 03/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 03/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [12:00:00 03/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [12:00:00 03/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 03/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [12:00:00 03/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 03/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 03/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 03/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 03/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 03/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [12:00:00 03/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [12:00:00 03/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [12:00:00 03/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 03/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 03/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [12:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13383 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [12:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13383 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [12:00:00 03/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [12:00:00 03/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 03/11/2011] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [12:00:00 03/11/2011] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [12:00:00 03/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [12:00:00 03/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 03/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 03/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 03/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 03/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 03/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 03/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [12:00:00 03/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [12:00:00 03/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 03/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [12:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13383 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [12:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13383 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Dermagran st: NotStopd t0: [12:00:00 03/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 03/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 03/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 03/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 03/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 03/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 03/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 03/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 03/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 03/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 03/11/2011] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [12:00:00 03/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 03/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 03/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 03/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 03/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 03/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [12:00:00 03/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 03/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 03/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 03/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 03/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [12:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13383 id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [12:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13383 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [12:00:00 03/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 03/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 03/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [12:00:00 03/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 03/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [12:00:00 03/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 03/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 03/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 03/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [12:00:00 03/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 03/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [12:00:00 03/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd t0: [12:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13383 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [12:00:00 03/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [12:00:00 03/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 03/11/2011] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 10.8 vu: ml t0: [12:00:00 03/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 10.125 vu: ml t0: [12:00:00 03/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 80 vu: ml t0: [12:00:00 03/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [10:00:00 03/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0148148 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 03/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0148148 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 03/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.00740741 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 03/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [12:00:00 03/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [13:00:00 03/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 03/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [13:00:00 03/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 03/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 03/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 03/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 03/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 03/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [13:00:00 03/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [13:00:00 03/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [13:00:00 03/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13323 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [13:00:00 03/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:00:00 03/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [13:00:00 03/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 03/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [13:00:00 03/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 03/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 03/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 03/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [13:00:00 03/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [13:00:00 03/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 03/11/2011] tf: [21:00:00 07/11/2011] dt: 6300 id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: RN ai: 103 vo: 120 vu: ml t0: [12:00:00 03/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 250 vu: ml t0: [12:00:00 03/11/2011] tf: [20:00:00 10/11/2011] dt: 10560 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 15 vu: ml
t0: [13:00:00 03/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.00740741 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 03/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 03/11/2011] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 120 ap: none
t0: [14:00:00 03/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 03/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 14 u1: mmHg st: NotStopd t0: [14:00:00 03/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 03/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 03/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 03/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 03/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 03/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [14:00:00 03/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [14:00:00 03/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [14:00:00 03/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13263 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [14:00:00 03/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 03/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [14:00:00 03/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 03/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [14:00:00 03/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 03/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [14:00:00 03/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 03/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 03/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13263 id: Procedures el: 0 cu: MICU-A cg: RN v1: EEG st: NotStopd
t0: [14:00:00 03/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 03/11/2011] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 21.6 vu: ml t0: [14:00:00 03/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 160 vu: ml t0: [14:00:00 03/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [14:00:00 03/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.00740741 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [15:00:00 03/11/2011] id: INV#1Chg o/Wire Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [15:00:00 03/11/2011] id: INV Line#1 Site Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [15:00:00 03/11/2011] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [15:00:00 03/11/2011] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [15:00:00 03/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 03/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 14 u1: mmHg st: NotStopd t0: [15:00:00 03/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 03/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 03/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 03/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 03/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 03/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [15:00:00 03/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [15:00:00 03/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [15:00:00 03/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [15:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13203 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [15:00:00 03/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [15:00:00 03/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [15:00:00 03/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [15:00:00 03/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [15:00:00 03/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 03/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:00:00 03/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 03/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 03/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [15:00:00 03/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [15:00:00 03/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 03/11/2011] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 10.8 vu: ml t0: [15:00:00 03/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 80 vu: ml t0: [15:00:00 03/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 0 vu: ml nb: 1
t0: [15:00:00 03/11/2011] tf: [02:00:00 04/11/2011] dt: 660 id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [11:00:00 03/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 03/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 03/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [11:00:00 03/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 03/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [11:00:00 03/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [14:00:00 03/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [14:00:00 03/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 03/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 03/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 03/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 03/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [14:00:00 03/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 03/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 03/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 03/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13143 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 03/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 03/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 03/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 03/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [14:00:00 03/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [16:00:00 03/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 03/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 03/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [16:00:00 03/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [16:00:00 03/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 03/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [16:00:00 03/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 03/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 03/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 03/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 03/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 03/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 03/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 03/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13143 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [16:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13143 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [16:00:00 03/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [16:00:00 03/11/2011] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: PICC line v2: Right Antecub st: NotStopd t0: [16:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13143 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 03/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 03/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [16:00:00 03/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 03/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 03/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 03/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [16:00:00 03/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 03/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13143 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 03/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 03/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 03/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 03/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 03/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 03/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 03/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 03/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [16:00:00 03/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [16:00:00 03/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 03/11/2011] id: INV#1 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [16:00:00 03/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [16:00:00 03/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 23 st: NotStopd t0: [16:00:00 03/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 03/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 03/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 03/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 03/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 03/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 03/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 03/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 03/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 03/11/2011] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [16:00:00 03/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 03/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 03/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 03/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 03/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 03/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 03/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [16:00:00 03/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [16:00:00 03/11/2011] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [16:00:00 03/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [16:00:00 03/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [16:00:00 03/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 03/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [16:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13143 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [16:00:00 03/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [16:00:00 03/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 350 vu: ml t0: [16:00:00 03/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 03/11/2011] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 10.8 vu: ml t0: [16:00:00 03/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 80 vu: ml t0: [16:00:00 03/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [16:00:00 03/11/2011] tf: [13:00:00 04/11/2011] dt: 1260 id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
tf: [14:00:00 12/11/2011] pt: IV Piggyback rt: IV fr: Q12H fs: 16, 4 dn: 2 m1: Linezolid v1: 600 u1: mg m2: D5W v2: 300 u2: ml
t0: [16:01:00 03/11/2011] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:01:00 03/11/2011] id: INV#1 Dsg Change el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [16:00:00 03/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 23.913 u1: ml/cmH st: NotStopd t0: [16:00:00 03/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 03/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 20 t0: [16:00:00 03/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [16:00:00 03/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 03/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 03/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 03/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 03/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 36 u1: Deg. C st: NotStopd t0: [16:00:00 03/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [16:00:00 03/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [16:00:00 03/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [16:00:00 03/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 16 u1: L/min st: NotStopd t0: [16:00:00 03/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 03/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [16:00:00 03/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [16:00:00 03/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [16:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13143 id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [16:00:00 03/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 11 u1: BPM st: NotStopd t0: [16:00:00 03/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 27 u1: BPM st: NotStopd t0: [16:00:00 03/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [16:00:00 03/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 03/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [16:00:00 03/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thin st: NotStopd t0: [16:00:00 03/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 03/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 570 u1: ml/B st: NotStopd t0: [16:00:00 03/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [16:00:00 03/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 03/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [16:00:00 03/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [18:00:00 03/11/2011] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: -1 ai: 126 vo: 0 st: D/C'd
t0: [16:00:00 03/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 03/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 03/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 03/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 03/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 03/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 03/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [16:00:00 03/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [16:00:00 03/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [16:00:00 03/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13143 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [17:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13083 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13023 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [16:00:00 03/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:00:00 03/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [16:00:00 03/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 03/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [16:00:00 03/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 03/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [16:00:00 03/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [16:00:00 03/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 03/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 03/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 03/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 03/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 03/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 03/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 03/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 110 u1: BPM st: NotStopd t0: [17:00:00 03/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:00:00 03/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [17:00:00 03/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [17:00:00 03/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [17:00:00 03/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 03/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [17:00:00 03/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 03/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [17:00:00 03/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 03/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [17:00:00 03/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 03/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 03/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 03/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [18:00:00 03/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 03/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 03/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 03/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 03/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 03/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [18:00:00 03/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [18:00:00 03/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [18:00:00 03/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [18:00:00 03/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [18:00:00 03/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 03/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [18:00:00 03/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:00:00 03/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [18:00:00 03/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 03/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [18:00:00 03/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 03/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 03/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 20 vu: ml t0: [18:00:00 03/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 03/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 160 vu: ml t0: [18:00:00 03/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [15:00:00 03/11/2011] tf: [02:00:00 04/11/2011] dt: 660 id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 03/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip st: Stopped t0: [16:00:00 03/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 03/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 03/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 03/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 03/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 03/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 03/11/2011] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [17:00:00 03/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 03/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 03/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 03/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [17:00:00 03/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 03/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [17:00:00 03/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [17:00:00 03/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 03/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [18:00:00 03/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 03/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 03/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [18:00:00 03/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [18:00:00 03/11/2011] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [18:00:00 03/11/2011] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [18:00:00 03/11/2011] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 03/11/2011] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [18:00:00 03/11/2011] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [18:00:00 03/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [18:00:00 03/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13023 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: No st: NotStopd t0: [18:00:00 03/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13023 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [18:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13023 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [18:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13023 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [18:00:00 03/11/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [18:00:00 03/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [18:00:00 03/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 03/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 03/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 03/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 03/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [18:00:00 03/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13023 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd
t0: [18:00:00 03/11/2011] tf: [15:00:00 12/11/2011] dt: 12780 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [18:00:00 03/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 03/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 170 vu: ml t0: [18:00:00 03/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [23:00:00 03/11/2011] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU-A cg: RN cv: 260 ap: none
t0: [18:15:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13008 id: PT el: 0 cu: MICU-A cg: 1663 v1: 14 rs: Final st: NotStopd t0: [18:15:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13008 id: Fibrinogen Coags el: 0 cu: MICU-A cg: 1663 v1: 129 rs: Final st: NotStopd t0: [18:15:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13008 id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [18:15:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13008 id: Fibrinogen (150-400) Coags el: 0 cu: MICU-A cg: 1663 v1: 129 rs: Final st: NotStopd t0: [18:15:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13008 id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [18:15:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13008 id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 14 rs: Final st: NotStopd
t0: [18:15:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13008 id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 150 rs: Final st: NotStopd t0: [18:15:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 13008 id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 150 rs: Final st: NotStopd
t0: [19:00:00 03/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [19:00:00 03/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [19:00:00 03/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [19:00:00 03/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [19:00:00 03/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [19:00:00 03/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [19:00:00 03/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [19:00:00 03/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 03/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [19:00:00 03/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [19:00:00 03/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [19:00:00 03/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 03/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 03/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [19:00:00 03/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [19:00:00 03/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [19:00:00 03/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 03/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [19:00:00 03/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [19:00:00 03/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [19:00:00 03/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [19:00:00 03/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 03/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [19:00:00 03/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 03/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [19:00:00 03/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [19:00:00 03/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [19:00:00 03/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [19:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 12963 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [19:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 12963 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [19:00:00 03/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [19:00:00 03/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [19:00:00 03/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 12963 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [19:00:00 03/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 03/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [19:00:00 03/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [19:00:00 03/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [19:00:00 03/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 03/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [19:00:00 03/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [19:00:00 03/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [19:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 12963 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [19:00:00 03/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [19:00:00 03/11/2011] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [19:00:00 03/11/2011] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [19:00:00 03/11/2011] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 03/11/2011] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [19:00:00 03/11/2011] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [19:00:00 03/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [19:00:00 03/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [19:00:00 03/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [19:00:00 03/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [19:00:00 03/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [19:00:00 03/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [19:00:00 03/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [19:00:00 03/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [19:00:00 03/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [19:00:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [19:00:00 03/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [19:00:00 03/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [19:00:00 03/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [19:00:00 03/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [19:00:00 03/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [19:00:00 03/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 23 st: NotStopd t0: [19:00:00 03/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [19:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 12963 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [19:00:00 03/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [19:00:00 03/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [19:00:00 03/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 03/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [19:00:00 03/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 03/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [19:00:00 03/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [19:00:00 03/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [19:00:00 03/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [19:00:00 03/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [19:00:00 03/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [19:00:00 03/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [19:00:00 03/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [19:00:00 03/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [19:00:00 03/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [19:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 12963 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Sternal Rub v2: No Response st: NotStopd t0: [19:00:00 03/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [19:00:00 03/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [19:00:00 03/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [19:00:00 03/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 03/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [19:00:00 03/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 03/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [19:00:00 03/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 03/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [19:00:00 03/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [19:00:00 03/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [19:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 12963 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [19:00:00 03/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [19:00:00 03/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [19:00:00 03/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [19:00:00 03/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [19:00:00 03/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [19:00:00 03/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [19:00:00 03/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [19:00:00 03/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 03/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [19:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 12963 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [19:00:00 03/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [19:00:00 03/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 300 vu: ml t0: [19:00:00 03/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 03/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 80 vu: ml t0: [19:00:00 03/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [19:00:00 03/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [19:00:00 03/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [19:00:00 03/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 03/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [19:44:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 12919 id: PT el: 0 cu: MICU-A cg: 1663 v1: 12.8 rs: Final st: NotStopd t0: [19:44:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 12919 id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [19:44:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 12919 id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 37.5 rs: Final st: NotStopd t0: [19:44:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 12919 id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [19:44:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 12919 id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.8 rs: Final st: NotStopd t0: [19:44:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 12919 id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 37.5 rs: Final st: NotStopd
t0: [20:00:00 03/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 03/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [20:00:00 03/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 03/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 03/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [20:00:00 03/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [20:00:00 03/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 03/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 03/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [20:00:00 03/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 03/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 03/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [20:00:00 03/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [20:00:00 03/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 03/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 03/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [20:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 12903 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [20:00:00 03/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:00:00 03/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [20:00:00 03/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 03/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [20:00:00 03/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 03/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [20:00:00 03/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 03/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [20:00:00 03/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 03/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 03/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 03/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 80 vu: ml t0: [20:00:00 03/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 03/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml t0: [20:00:00 03/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [20:00:00 03/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 03/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [21:00:00 03/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 22 u1: ml/cmH st: NotStopd t0: [21:00:00 03/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [21:00:00 03/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 20 t0: [21:00:00 03/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [21:00:00 03/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [21:00:00 03/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:00:00 03/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [21:00:00 03/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 03/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 36 u1: Deg. C st: NotStopd t0: [21:00:00 03/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [21:00:00 03/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [21:00:00 03/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [21:00:00 03/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.5 u1: L/min st: NotStopd t0: [21:00:00 03/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:00:00 03/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [21:00:00 03/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [21:00:00 03/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [21:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 12843 id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [21:00:00 03/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [21:00:00 03/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [21:00:00 03/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [21:00:00 03/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:00:00 03/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 95 u1: % st: NotStopd t0: [21:00:00 03/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [21:00:00 03/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [21:00:00 03/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 584 u1: ml/B st: NotStopd t0: [21:00:00 03/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [21:00:00 03/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [21:00:00 03/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [21:00:00 03/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 03/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 03/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [21:00:00 03/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 03/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 03/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [21:00:00 03/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [21:00:00 03/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 03/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [21:00:00 03/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [21:00:00 03/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [21:00:00 03/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [21:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 12843 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [21:00:00 03/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:00:00 03/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [21:00:00 03/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 03/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [21:00:00 03/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 03/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 6 u1: BPM st: NotStopd t0: [21:00:00 03/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [21:00:00 03/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [21:00:00 03/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 03/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 5 vu: ml st: Stopped t0: [15:00:00 03/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vu: ml t0: [16:00:00 03/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vu: ml t0: [18:00:00 03/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vu: ml t0: [21:00:00 03/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 03/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 80 vu: ml t0: [21:00:00 03/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 03/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 20 vu: ml t0: [21:00:00 03/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [21:00:00 03/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 03/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [22:00:00 03/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 03/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [22:00:00 03/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 03/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 03/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [22:00:00 03/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [22:00:00 03/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 03/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [22:00:00 03/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 03/11/2011] id: NBP el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [22:00:00 03/11/2011] id: NBP Mean el: 0 cu: MICU-A cg: RN v1: 54 u1: mmHg st: NotStopd t0: [22:00:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [22:00:00 03/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 53 u1: mmHg st: NotStopd t0: [22:00:00 03/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 12783 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [22:00:00 03/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:00:00 03/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [22:00:00 03/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 03/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [22:00:00 03/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 03/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [22:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 12783 id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd t0: [22:00:00 03/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 03/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 03/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 03/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 80 vu: ml t0: [22:00:00 03/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 03/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 18 vu: ml t0: [22:00:00 03/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 0.5 vu: ml
t0: [22:00:00 03/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 03/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [22:15:00 03/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:15:00 03/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [22:15:00 03/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:15:00 03/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:15:00 03/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:15:00 03/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [22:15:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [22:15:00 03/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 52 u1: mmHg st: NotStopd t0: [22:15:00 03/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:15:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 12768 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [22:15:00 03/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:15:00 03/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [22:15:00 03/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:15:00 03/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [22:15:00 03/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:15:00 03/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [22:15:00 03/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [22:15:00 03/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 03/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vu: ml nb: 1
t0: [22:15:00 03/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:15:00 03/11/2011] tf: [04:00:00 04/11/2011] dt: 345 id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:15:00 03/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 03/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 03/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [23:00:00 03/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 03/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 03/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [23:00:00 03/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [23:00:00 03/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 03/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [23:00:00 03/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 03/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [23:00:00 03/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [23:00:00 03/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [23:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 12723 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [23:00:00 03/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 03/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [23:00:00 03/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 03/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [23:00:00 03/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 03/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 6 u1: BPM st: NotStopd t0: [23:00:00 03/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 03/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 03/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 550 vu: ml t0: [23:00:00 03/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 03/11/2011] tf: [13:00:00 04/11/2011] dt: 840 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.9 vu: ml t0: [23:00:00 03/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 80 vu: ml t0: [23:00:00 03/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 03/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 14 vu: ml t0: [23:00:00 03/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 0.5 vu: ml
t0: [23:00:00 03/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 03/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 03/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 03/11/2011] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 14 cv: 14 ap: none t0: [23:00:00 03/11/2011] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 98.4 cv: 98.4 ap: none t0: [23:00:00 03/11/2011] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 32.4 cv: 2491.54 ap: none t0: [23:00:00 03/11/2011] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 112.4 cv: 4336.54 ap: none t0: [23:00:00 03/11/2011] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 80 cv: 1500 ap: none t0: [23:00:00 03/11/2011] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 14 cv: 1352 ap: none t0: [23:00:00 03/11/2011] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 98.4 cv: 2624.54 ap: none t0: [23:00:00 03/11/2011] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 14 cv: 1712 ap: none t0: [23:00:00 03/11/2011] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 98.4 cv: 10859.6 ap: carryForward
t0: [00:00:00 04/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 146 rs: Manual st: NotStopd
t0: [19:00:00 03/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [19:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 12963 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [21:00:00 03/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [22:00:00 03/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [22:00:00 03/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [22:00:00 03/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [22:00:00 03/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [22:00:00 03/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [22:00:00 03/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12663 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 03/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 03/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 03/11/2011] tf: [19:03:00 12/11/2011] dt: 12783 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 04/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 04/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [00:00:00 04/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 04/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12663 id: BATH el: 0 cu: MICU-A cg: RN v1: Done t0: [00:00:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [00:00:00 04/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [00:00:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 04/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 04/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 04/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [00:00:00 04/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 04/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 04/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [00:00:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [00:00:00 04/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [00:00:00 04/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 04/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [00:00:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 04/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [00:00:00 04/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 04/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 04/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 4 u1: points st: NotStopd t0: [00:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12663 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [00:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12663 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [00:00:00 04/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [00:00:00 04/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [00:00:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 04/11/2011] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 04/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [00:00:00 04/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 04/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 04/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [00:00:00 04/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 04/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12663 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 04/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 04/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 04/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 04/11/2011] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 04/11/2011] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [00:00:00 04/11/2011] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 04/11/2011] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 04/11/2011] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [00:00:00 04/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [00:00:00 04/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 04/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 04/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 04/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 04/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 04/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12663 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 04/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [00:00:00 04/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [00:00:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [00:00:00 04/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg st: NotStopd t0: [00:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12663 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 04/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 04/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [00:00:00 04/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [00:00:00 04/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 23 st: NotStopd t0: [00:00:00 04/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12663 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [00:00:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:00:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [00:00:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 04/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [00:00:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 04/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 04/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 04/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 04/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [00:00:00 04/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 04/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 04/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 04/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 11 u1: BPM st: NotStopd t0: [00:00:00 04/11/2011] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Sternal Rub v2: No Response st: NotStopd t0: [00:00:00 04/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 04/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 04/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 04/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 04/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [00:00:00 04/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 04/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 04/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [00:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12663 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [00:00:00 04/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 04/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 04/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [00:00:00 04/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [00:00:00 04/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [00:00:00 04/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 04/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [00:00:00 04/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [00:00:00 04/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 04/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 04/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12663 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [00:00:00 04/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [00:00:00 04/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 04/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 23.625 vu: ml t0: [00:00:00 04/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 04/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 20 vu: ml t0: [00:00:00 04/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 0.5 vu: ml
t0: [00:00:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 04/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [00:00:00 04/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 21.1538 u1: ml/cmH st: NotStopd t0: [00:00:00 04/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 04/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 20 t0: [00:00:00 04/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 04/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 04/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 04/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 04/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 04/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 36 u1: Deg. C st: NotStopd t0: [00:00:00 04/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [00:00:00 04/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [00:00:00 04/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [00:00:00 04/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.2 u1: L/min st: NotStopd t0: [00:00:00 04/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 04/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [00:00:00 04/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [00:00:00 04/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [00:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12663 id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [00:00:00 04/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 04/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:00:00 04/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:00:00 04/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 04/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [00:00:00 04/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [00:00:00 04/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 569 u1: ml/B st: NotStopd t0: [00:00:00 04/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [00:00:00 04/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 04/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [00:00:00 04/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 16 u1: mmHg st: NotStopd t0: [01:00:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [01:00:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [01:00:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [01:00:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [01:00:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [01:00:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12603 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [01:00:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:00:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [01:00:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 04/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [01:00:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [01:00:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 04/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 180 vu: ml t0: [01:00:00 04/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 160 vu: ml t0: [01:00:00 04/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 04/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 23.625 vu: ml t0: [01:00:00 04/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 3.5 vu: ml t0: [01:00:00 04/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml t0: [01:00:00 04/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 0.5 vu: ml
t0: [01:00:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 35 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 04/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [02:00:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [02:00:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [02:00:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [02:00:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [02:00:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [02:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12543 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [02:00:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [02:00:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [02:00:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 04/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [02:00:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [02:00:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 04/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vu: ml st: Stopped t0: [00:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12663 id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [01:00:00 04/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vu: ml t0: [01:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12603 id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [02:00:00 04/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 04/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 23.625 vu: ml t0: [02:00:00 04/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 23 vu: ml
t0: [02:00:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 04/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 du: mghr sv: 50 su: ml rt: IV Drip st: Stopped
t0: [23:00:00 04/11/2011] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 160 ap: none t0: [23:00:00 04/11/2011] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 50 cv: 700 ap: none
t0: [03:00:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 17 u1: mmHg st: NotStopd t0: [03:00:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 04/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 04/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [03:00:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 04/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [03:00:00 04/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [03:00:00 04/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [03:00:00 04/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [03:00:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [03:00:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 04/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [03:00:00 04/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [03:00:00 04/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [03:00:00 04/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [03:00:00 04/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [03:00:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [03:00:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [03:00:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12483 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [03:00:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [03:00:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [03:00:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 04/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [03:00:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 04/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [03:00:00 04/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [03:00:00 04/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [03:00:00 04/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [03:00:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [03:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12483 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Sternal Rub v2: Withdraws st: NotStopd t0: [03:00:00 04/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [03:00:00 04/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [03:00:00 04/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [03:00:00 04/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [03:00:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 04/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 04/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 23.625 vu: ml t0: [03:00:00 04/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 23 vu: ml
t0: [02:00:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 du: mcghr sv: 250 su: ml rt: IV Drip st: Stopped t0: [03:00:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 04/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [03:00:00 04/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [03:00:00 04/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 80 vu: ml t0: [04:00:00 04/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml
t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: PT el: 0 cu: MICU-A cg: 1663 v1: 13 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Fibrinogen Coags el: 0 cu: MICU-A cg: 1663 v1: 214 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 41.5 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Fibrinogen (150-400) Coags el: 0 cu: MICU-A cg: 1663 v1: 214 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 41.5 rs: Final st: NotStopd
t0: [00:00:00 04/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Changed st: NotStopd t0: [00:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12663 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12423 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 04/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 04/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 04/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12423 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [03:00:00 04/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [03:00:00 04/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Turns by self st: NotStopd t0: [04:00:00 04/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 04/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [04:00:00 04/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [04:00:00 04/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [04:00:00 04/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 04/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [04:00:00 04/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [04:00:00 04/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 04/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 04/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 04/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 04/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 04/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [04:00:00 04/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 04/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 4 mm st: NotStopd t0: [04:00:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 04/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [04:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12423 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [04:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12423 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [04:00:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 107 u1: BPM st: NotStopd t0: [04:00:00 04/11/2011] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 04/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 04/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [04:00:00 04/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 04/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 04/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 04/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [04:00:00 04/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 04/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12423 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 04/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 04/11/2011] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 04/11/2011] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [04:00:00 04/11/2011] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 04/11/2011] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [04:00:00 04/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [04:00:00 04/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 04/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 04/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [04:00:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [04:00:00 04/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [04:00:00 04/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 04/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12423 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:00:00 04/11/2011] id: PresSoreStage/Heal#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [04:00:00 04/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Sanguinous v2: Small st: NotStopd t0: [04:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12423 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12423 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [04:00:00 04/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [04:00:00 04/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 23 st: NotStopd t0: [04:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12423 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [04:00:00 04/11/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [04:00:00 04/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12423 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [04:00:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [04:00:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [04:00:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 04/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [04:00:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 04/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [04:00:00 04/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 04/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 04/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 04/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [04:00:00 04/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 04/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 04/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 04/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 04/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [04:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12423 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [04:00:00 04/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 04/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 04/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [04:00:00 04/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [04:00:00 04/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [04:00:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 04/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [04:00:00 04/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 04/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 04/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 04/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 04/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 04/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [04:00:00 04/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12423 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [04:00:00 04/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [04:00:00 04/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 23.625 vu: ml t0: [04:00:00 04/11/2011] tf: [17:00:00 04/11/2011] dt: 780 id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 40 vu: ml
t0: [03:23:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [04:00:00 04/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 25 vu: ml
t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 36.8 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 36.8 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 33.6 u1: % rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.4 u1: gm/dl rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 64 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.71 u1: /mic l rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 36.8 rs: Final st: NotStopd
t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: BUN el: 0 cu: MICU-A cg: 1663 v1: 49 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 102 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 116 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.4 u1: mEq/L rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 132 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.9 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 59 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 63 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 443 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 49 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 21 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 102 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 116 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 492 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.4 u1: mEq/L rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 132 rs: Final st: NotStopd t0: [03:17:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12466 id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.9 rs: Final st: NotStopd
t0: [04:34:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12389 id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.35 rs: Final st: NotStopd t0: [04:34:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12389 id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd t0: [04:34:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12389 id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -2 rs: Final st: NotStopd t0: [04:34:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12389 id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [04:34:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12389 id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [04:34:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12389 id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 88 u1: mmHg rs: Final st: NotStopd t0: [04:34:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12389 id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.35 rs: Final st: NotStopd t0: [04:34:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12389 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.4 rs: Final st: NotStopd
t0: [05:00:00 04/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 30.5556 u1: ml/cmH st: NotStopd t0: [05:00:00 04/11/2011] id: RSBI (<100) el: 0 cu: MICU-A cg: RRT v1: 53.3333 u1: units st: NotStopd t0: [05:00:00 04/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [05:00:00 04/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 20 t0: [05:00:00 04/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [05:00:00 04/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [05:00:00 04/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:00:00 04/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [05:00:00 04/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 04/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 36.4 u1: Deg. C st: NotStopd t0: [05:00:00 04/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [05:00:00 04/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [05:00:00 04/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 04/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.3 u1: L/min st: NotStopd t0: [05:00:00 04/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 04/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [05:00:00 04/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [05:00:00 04/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [05:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12363 id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 0 u1: . st: NotStopd t0: [05:00:00 04/11/2011] id: RSBI (<200) el: 0 cu: MICU-A cg: RRT v1: 53.3333 u1: units st: NotStopd t0: [05:00:00 04/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 7 u1: BPM st: NotStopd t0: [05:00:00 04/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 23 u1: BPM st: NotStopd t0: [05:00:00 04/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [05:00:00 04/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [05:00:00 04/11/2011] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [05:00:00 04/11/2011] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: RRT v1: 0.45 u1: L st: NotStopd t0: [05:00:00 04/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [05:00:00 04/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [05:00:00 04/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 571 u1: ml/B st: NotStopd t0: [05:00:00 04/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [05:00:00 04/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [05:00:00 04/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [05:00:00 04/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [05:00:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [05:00:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [05:00:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [05:00:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [05:00:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [05:00:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [05:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12363 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [05:00:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [05:00:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [05:00:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 04/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [05:00:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 04/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [05:00:00 04/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 40 vu: ml t0: [05:00:00 04/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2.5 vu: ml t0: [05:00:00 04/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 25 vu: ml t0: [05:00:00 04/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 0.5 vu: ml
t0: [04:00:00 04/11/2011] tf: [15:00:00 12/11/2011] dt: 12180 id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 04/11/2011] tf: [15:00:00 12/11/2011] dt: 12180 id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 04/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [06:00:00 04/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 112 rs: Manual st: NotStopd
t0: [06:00:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [06:00:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [06:00:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [06:00:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 108 u1: BPM st: NotStopd t0: [06:00:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [06:00:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [06:00:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [06:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12303 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [06:00:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [06:00:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [06:00:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 04/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [06:00:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 04/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 40 vu: ml t0: [06:00:00 04/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [06:00:00 04/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [06:00:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 04/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 04/11/2011] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU-A cg: RN cv: 120 ap: none
t0: [07:00:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [07:00:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [07:00:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [07:00:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 110 u1: BPM st: NotStopd t0: [07:00:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 142 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [07:00:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [07:00:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [07:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12243 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [07:00:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [07:00:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: BPM v2: 150 u2: BPM st: NotStopd t0: [07:00:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [07:00:00 04/11/2011] id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM v2: 35 u2: BPM st: NotStopd t0: [07:00:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [07:00:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 04/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 04/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2.5 vu: ml t0: [06:00:00 04/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml t0: [07:00:00 04/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 300 vu: ml t0: [07:00:00 04/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 04/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 40 vu: ml t0: [07:00:00 04/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2.5 vu: ml t0: [07:00:00 04/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 20 vu: ml t0: [07:00:00 04/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [07:00:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 04/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [07:00:00 04/11/2011] id: ICP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [07:00:00 04/11/2011] id: PAP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [08:00:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [08:00:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [08:00:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [08:00:00 04/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [08:00:00 04/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 133 u1: BPM st: NotStopd t0: [08:00:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 196 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [08:00:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg st: NotStopd t0: [08:00:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [08:00:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [08:00:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [08:00:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [08:00:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 40 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 04/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 04/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 68.75 u1: ml/cmH st: NotStopd t0: [08:00:00 04/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 04/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 22 t0: [08:00:00 04/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [08:00:00 04/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 04/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 04/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.8 st: NotStopd t0: [08:00:00 04/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 04/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 04/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 36 u1: Deg. C st: NotStopd t0: [08:00:00 04/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [08:00:00 04/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [08:00:00 04/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:00:00 04/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 19 u1: L/min st: NotStopd t0: [08:00:00 04/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 04/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: Resp Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RRT u1: BPM u2: BPM st: NotStopd t0: [08:00:00 04/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [08:00:00 04/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 31 u1: BPM st: NotStopd t0: [08:00:00 04/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:00:00 04/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 04/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [08:00:00 04/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [08:00:00 04/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 04/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [08:00:00 04/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd t0: [08:15:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RRT v1: MICU st: NotStopd t0: [08:15:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RRT v1: 11 u1: mmHg st: NotStopd t0: [08:15:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RRT v1: Full Code st: NotStopd t0: [08:15:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:15:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RRT v1: Occasional st: NotStopd t0: [08:15:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RRT v1: PVC's st: NotStopd t0: [08:15:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RRT v1: Yes st: NotStopd t0: [08:15:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RRT v1: 123 u1: BPM st: NotStopd t0: [08:15:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RRT v1: Sinus Tachy st: NotStopd t0: [08:15:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RRT v1: 163 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [08:15:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RRT v1: 92 u1: mmHg st: NotStopd t0: [08:15:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RRT v1: Contact st: NotStopd t0: [08:15:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RRT v1: 60 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [08:15:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RRT v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:15:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RRT v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [08:15:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RRT v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:15:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RRT v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:15:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [08:15:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 91 u1: % st: NotStopd t0: [08:15:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RRT v1: 1 u1: kg st: NotStopd
t0: [08:15:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RRT so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:15:00 04/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RRT so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [09:00:00 04/11/2011] id: Temperature C el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [08:00:00 04/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 04/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [08:00:00 04/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [09:00:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [09:00:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 131 u1: BPM st: NotStopd t0: [09:00:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 157 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [09:00:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [09:00:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:00:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [09:00:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [09:00:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [09:00:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [09:00:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 04/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 04/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 40 vu: ml t0: [08:00:00 04/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2.5 vu: ml t0: [08:00:00 04/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [08:00:00 04/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml t0: [09:00:00 04/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 04/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 40 vu: ml t0: [09:00:00 04/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 4.75 vu: ml t0: [09:00:00 04/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [09:00:00 04/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [09:00:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 04/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 04/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 04/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: Pain Level el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: Pain Level/Response el: 0 cu: MICU-A cg: RN v1: 5-Moderate st: NotStopd t0: [08:00:00 04/11/2011] id: Pain Level/Response el: 0 cu: MICU-A cg: RN v1: 2-Mild st: NotStopd t0: [08:00:00 04/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 04/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [08:00:00 04/11/2011] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 04/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [08:00:00 04/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 04/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 04/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [08:00:00 04/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 04/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 04/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 04/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: Education Barrier el: 0 cu: MICU-A cg: RN v1: General v2: 6 mm st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: Education Handout el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: Education Learner el: 0 cu: MICU-A cg: RN v1: Not Given st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: Education Method el: 0 cu: MICU-A cg: RN v1: Sig Othr/Family st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Explanation st: NotStopd t0: [08:00:00 04/11/2011] id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: Education Response el: 0 cu: MICU-A cg: RN v1: Understands st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [08:00:00 04/11/2011] id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: EquipmentMonitor st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 04/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 04/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 04/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [08:00:00 04/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [08:00:00 04/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 04/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 04/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [08:00:00 04/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 04/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 04/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 04/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [08:00:00 04/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 04/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 04/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 04/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 04/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [08:00:00 04/11/2011] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [08:00:00 04/11/2011] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 04/11/2011] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [08:00:00 04/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [08:00:00 04/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 04/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 04/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 04/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 04/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 04/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [08:00:00 04/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [08:00:00 04/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Movement/Turning st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: 5-Moderate st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: Pain Management el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: Pain Type el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: Repositioned st: NotStopd t0: [08:00:00 04/11/2011] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 04/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 04/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 04/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 04/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [08:00:00 04/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 24 st: NotStopd t0: [08:00:00 04/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 04/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 04/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 04/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 04/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 04/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 04/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 04/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 04/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Sternal Rub v2: Withdraws st: NotStopd t0: [08:00:00 04/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 04/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 04/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 04/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 04/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 04/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 04/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 04/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 04/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 04/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [08:00:00 04/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [08:00:00 04/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 04/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [08:00:00 04/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 04/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [08:00:00 04/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 04/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 04/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 04/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 04/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 04/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 04/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 04/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 04/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12183 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [08:00:00 04/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd t0: [10:00:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [10:00:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 118 u1: BPM st: NotStopd t0: [10:00:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [10:00:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [10:00:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:00:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [10:00:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [10:00:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:00:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 04/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [10:00:00 04/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 04/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 50 vu: ml t0: [09:00:00 04/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [10:00:00 04/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 04/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 40 vu: ml t0: [10:00:00 04/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [10:00:00 04/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [10:00:00 04/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [10:00:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 04/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [10:00:00 04/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7222 u1: Deg. C st: NotStopd t0: [10:00:00 04/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.9 u1: Deg. F st: NotStopd
t0: [10:00:00 04/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip
t0: [10:48:00 04/11/2011] id: BSA el: 1033 cu: MICU-A cg: -1 v1: 2.10426 u1: m2 t0: [10:48:00 04/11/2011] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 90 u1: kg t0: [10:48:00 04/11/2011] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [10:48:00 04/11/2011] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: FUNGAL PNEUMONIA t0: [10:48:00 04/11/2011] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [10:48:00 04/11/2011] id: Admit Ht el: 1034 cu: MICU-A cg: -1 v1: 67 u1: inches t0: [10:48:00 04/11/2011] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [10:48:00 04/11/2011] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: M t0: [10:48:00 04/11/2011] id: Religion el: 1000 cu: MICU-A cg: -1 v1: RCA t0: [10:48:00 04/11/2011] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [10:48:00 04/11/2011] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [10:48:00 04/11/2011] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [10:48:00 04/11/2011] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [10:00:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [11:00:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 113 u1: BPM st: NotStopd t0: [11:00:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [11:00:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [11:00:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [11:00:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [11:00:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [11:00:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [11:00:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 04/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [11:15:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:15:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [11:15:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:15:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:15:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:15:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 110 u1: BPM st: NotStopd t0: [11:15:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [11:15:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg st: NotStopd t0: [11:15:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [11:15:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [11:15:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:15:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [11:15:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:15:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:15:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [11:15:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [11:15:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:30:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:30:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [11:30:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:30:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:30:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:30:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 120 u1: BPM st: NotStopd t0: [11:30:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [11:30:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [11:30:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [11:30:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [11:30:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:30:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [11:30:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:30:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:30:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 29 u1: BPM st: NotStopd t0: [11:30:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [11:30:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:15:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:15:00 04/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:30:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:30:00 04/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 04/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 04/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 04/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 04/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [12:00:00 04/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [12:00:00 04/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 04/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 04/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [12:00:00 04/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [12:00:00 04/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 04/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 04/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 04/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 04/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 04/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 04/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 04/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [12:00:00 04/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 04/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 6 mm st: NotStopd t0: [12:00:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 04/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [12:00:00 04/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 04/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 04/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [12:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11943 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [12:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11943 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [12:00:00 04/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [12:00:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 109 u1: BPM st: NotStopd t0: [12:00:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 04/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 04/11/2011] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [12:00:00 04/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [12:00:00 04/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 8.0 mm st: NotStopd t0: [12:00:00 04/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [12:00:00 04/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [12:00:00 04/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 04/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 04/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 04/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 04/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [12:00:00 04/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 04/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [12:00:00 04/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [12:00:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [12:00:00 04/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 53 u1: mmHg st: NotStopd t0: [12:00:00 04/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [12:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11943 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [12:00:00 04/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [12:00:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [12:00:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 04/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 04/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 04/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 04/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [12:00:00 04/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 04/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 04/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 04/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 04/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11943 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Sternal Rub v2: Withdraws st: NotStopd t0: [12:00:00 04/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 04/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 04/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 04/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 04/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 04/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 04/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 04/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White st: NotStopd t0: [12:00:00 04/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 04/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [12:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11943 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [12:00:00 04/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 04/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [12:00:00 04/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: Drager st: NotStopd t0: [12:00:00 04/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 04/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [12:00:00 04/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 04/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 04/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 04/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 04/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 04/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [12:00:00 04/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11943 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [12:00:00 04/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [11:00:00 04/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 04/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 40 vu: ml t0: [11:00:00 04/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [11:00:00 04/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [11:00:00 04/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 3 vu: ml t0: [12:00:00 04/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 04/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 40 vu: ml t0: [12:00:00 04/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 04/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml t0: [12:00:00 04/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1.5 vu: ml
t0: [12:00:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 04/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 04/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [12:00:00 04/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 22 t0: [12:00:00 04/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [12:00:00 04/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 04/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 04/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.8 st: NotStopd t0: [12:00:00 04/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 36 u1: Deg. C st: NotStopd t0: [12:00:00 04/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [12:00:00 04/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [12:00:00 04/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12 u1: L/min st: NotStopd t0: [12:00:00 04/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 04/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [12:00:00 04/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [12:00:00 04/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 5 u1: BPM st: NotStopd t0: [12:00:00 04/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 21 u1: BPM st: NotStopd t0: [12:00:00 04/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [12:00:00 04/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 04/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [12:00:00 04/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [12:00:00 04/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 04/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [13:00:00 04/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [13:00:00 04/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [13:00:00 04/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [13:00:00 04/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 04/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [13:00:00 04/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [13:00:00 04/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [13:00:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [13:00:00 04/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Tenacious st: NotStopd t0: [13:00:00 04/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [13:00:00 04/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [13:00:00 04/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [13:00:00 04/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [13:00:00 04/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [13:00:00 04/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: -1 ai: 113 vo: 0 st: D/C'd
t0: [13:00:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [13:00:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 105 u1: BPM st: NotStopd t0: [13:00:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [13:00:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg st: NotStopd t0: [13:00:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [13:00:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [13:00:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:00:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [13:00:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [13:00:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [13:15:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:15:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [13:15:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:15:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:15:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [13:15:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [13:15:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:15:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [13:15:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [13:15:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [13:15:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 52 u1: mmHg st: NotStopd t0: [13:15:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [13:15:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [13:15:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:15:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [13:15:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:15:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:15:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [13:15:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [13:15:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 04/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 04/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 40 vu: ml t0: [13:00:00 04/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 04/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [13:00:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 04/11/2011] tf: [16:00:00 05/11/2011] dt: 1620 id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 04/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 04/11/2011] tf: [12:00:00 05/11/2011] dt: 1380 id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:15:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:15:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:15:00 04/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 04/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 04/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [12:00:00 04/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [13:30:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:30:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [13:30:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:30:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:30:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:30:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:30:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:30:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [13:30:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:30:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [13:30:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 54 u1: mmHg st: NotStopd t0: [13:30:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [13:30:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [13:30:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:30:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [13:30:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:30:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:30:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [13:30:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [13:30:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [13:45:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:45:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [13:45:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:45:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:45:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:45:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:45:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:45:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 116 u1: BPM st: NotStopd t0: [13:45:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [13:45:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [13:45:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [13:45:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [13:45:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [13:45:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:45:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [13:45:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:45:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:45:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [13:45:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [13:45:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [14:00:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 101 u1: BPM st: NotStopd t0: [14:00:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [14:00:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 52 u1: mmHg st: NotStopd t0: [14:00:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [14:00:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [14:00:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [14:00:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [14:00:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 04/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 04/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 04/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml
t0: [13:30:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:30:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:30:00 04/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:45:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:45:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:45:00 04/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 04/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
id: Propofol el: 102 cu: MICU-A cg: RN io: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions am: 1000 du: mcgkgmin rt: IV Drip
io: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ra: 16.2 ru: ml/hr lo: Right Subclavian
tf: [14:00:00 12/11/2011] pt: Unit Dose rt: OU fr: PRN m1: Artificial Tears v1: 1-2 u1: DROP
id: N/A el: 1 cu: MICU-A cg: RN io: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions vo: 100 du: vl rt: Intravenous Push
t0: [14:00:00 04/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [14:00:00 04/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [14:15:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:15:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [14:15:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:15:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:15:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [14:15:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [14:15:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:15:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [14:15:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [14:15:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [14:15:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 57 u1: mmHg st: NotStopd t0: [14:15:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [14:15:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [14:15:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:15:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [14:15:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:15:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:15:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:15:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [14:15:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:30:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:30:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [14:30:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:30:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:30:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [14:30:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [14:30:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:30:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 108 u1: BPM st: NotStopd t0: [14:30:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [14:30:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [14:30:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [14:30:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [14:30:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [14:30:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:30:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [14:30:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:30:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:30:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [14:30:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [14:30:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:45:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:45:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [14:45:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:45:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:45:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [14:45:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [14:45:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:45:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 111 u1: BPM st: NotStopd t0: [14:45:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [14:45:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [14:45:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [14:45:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [14:45:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [14:45:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:45:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [14:45:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:45:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:45:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:45:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [14:45:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [15:00:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [15:00:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [15:00:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg st: NotStopd t0: [15:00:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [15:00:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [15:00:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [15:00:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [15:00:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [15:00:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [15:00:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [15:00:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:45:00 04/11/2011] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vu: ml nb: 1 t0: [12:45:00 04/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1.5 vu: ml t0: [13:00:00 04/11/2011] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vu: ml st: Restart t0: [14:00:00 04/11/2011] tf: [17:00:00 05/11/2011] dt: 1620 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml st: Restart t0: [14:00:00 04/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 12.6562 vu: ml t0: [15:00:00 04/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 04/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 46.4063 vu: ml t0: [15:00:00 04/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 04/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 15 vu: ml
t0: [14:15:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:15:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:15:00 04/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:30:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:30:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:30:00 04/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:45:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:45:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:45:00 04/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 04/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:00:00 04/11/2011] id: NBP el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [16:00:00 04/11/2011] id: NBP Mean el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [16:00:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [16:00:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [16:00:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [16:00:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [16:00:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:00:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [16:00:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:00:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [16:00:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:00:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [16:00:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [16:00:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:15:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:15:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [16:15:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:15:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:15:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:15:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:15:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:15:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 102 u1: BPM st: NotStopd t0: [16:15:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [16:15:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [16:15:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:15:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [16:15:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:15:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [16:15:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:15:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:15:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [16:15:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [16:15:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:25:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:25:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [16:25:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:25:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:25:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:25:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:25:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:25:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 101 u1: BPM st: NotStopd t0: [16:25:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [16:25:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [16:25:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 47 u1: mmHg st: NotStopd t0: [16:25:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:25:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [16:25:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:25:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [16:25:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:25:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:25:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [16:25:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [16:25:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:30:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:30:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:30:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:30:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:30:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:30:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [16:30:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:30:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [16:30:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 53 u1: mmHg st: NotStopd t0: [16:30:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:30:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [16:30:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:30:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [16:30:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:30:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:30:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [16:30:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [16:30:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 04/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:15:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:15:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:15:00 04/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:25:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:25:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:25:00 04/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:30:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:30:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 04/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 04/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 50.625 vu: ml t0: [16:00:00 04/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 04/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [14:00:00 04/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [16:30:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [16:45:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:45:00 04/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [16:45:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:45:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:45:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:45:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:45:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:45:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 110 u1: BPM st: NotStopd t0: [16:45:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [16:45:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 159 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [16:45:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [16:45:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:45:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [16:45:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:45:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [16:45:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:45:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:45:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:45:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [16:45:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:30:00 04/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:45:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:45:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:45:00 04/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 04/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 126 rs: Manual st: NotStopd
t0: [17:00:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 105 u1: BPM st: NotStopd t0: [17:00:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 94 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [17:00:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 56 u1: mmHg st: NotStopd t0: [17:00:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [17:00:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [17:00:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [17:00:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:00:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [17:00:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 04/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 157 rs: Manual st: NotStopd
t0: [14:00:00 04/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 50 vu: ml t0: [15:00:00 04/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 50 vu: ml t0: [16:00:00 04/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 250 vu: ml t0: [16:00:00 04/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 50 vu: ml t0: [17:00:00 04/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 500 vu: ml t0: [17:00:00 04/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 54 vu: ml t0: [17:00:00 04/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 0 vu: ml t0: [17:00:00 04/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [17:00:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 04/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:15:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:15:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:15:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:15:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: Vent. Trigeminy st: NotStopd t0: [17:15:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:15:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 109 u1: BPM st: NotStopd t0: [17:15:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [17:15:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [17:15:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [17:15:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [17:15:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [17:15:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:15:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [17:15:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:15:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:15:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:15:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [17:15:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [17:30:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:30:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:30:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:30:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: Vent. Trigeminy st: NotStopd t0: [17:30:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:30:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 102 u1: BPM st: NotStopd t0: [17:30:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [17:30:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:30:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [17:30:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [17:30:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [17:30:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:30:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [17:30:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:30:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:30:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [17:30:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [17:30:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 04/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 04/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml
t0: [17:15:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:15:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:15:00 04/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:30:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:30:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:30:00 04/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12063 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 04/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 04/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 04/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [10:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 12063 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 04/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [10:00:00 04/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [10:00:00 04/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 04/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [10:00:00 04/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11943 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 04/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11943 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 04/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 04/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [12:00:00 04/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 04/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 04/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 04/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [12:00:00 04/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11943 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 04/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 04/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 04/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [12:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11943 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 04/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [12:00:00 04/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [12:00:00 04/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 04/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [12:00:00 04/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 24 st: NotStopd t0: [12:00:00 04/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 04/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [12:00:00 04/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11823 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 04/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 04/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 04/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [14:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11823 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 04/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [14:00:00 04/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [14:00:00 04/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 04/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [14:00:00 04/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 04/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [16:00:00 04/11/2011] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 04/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [16:00:00 04/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 04/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 04/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [16:00:00 04/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 04/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 04/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [16:00:00 04/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [16:00:00 04/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [16:00:00 04/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 04/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [16:00:00 04/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 24 st: NotStopd t0: [16:00:00 04/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [16:00:00 04/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [18:00:00 04/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: Flat in Bed st: NotStopd t0: [18:00:00 04/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11583 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 04/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [18:00:00 04/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [18:00:00 04/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [18:00:00 04/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd
t0: [08:00:00 04/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Reinforced st: NotStopd t0: [12:00:00 04/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Reinforced st: NotStopd t0: [16:00:00 04/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Reinforced st: NotStopd t0: [16:00:00 04/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [16:00:00 04/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [16:00:00 04/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [16:00:00 04/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 04/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [16:00:00 04/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 04/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 04/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 04/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 04/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11703 id: Education Barrier el: 0 cu: MICU-A cg: RN v1: General v2: 6 mm st: NotStopd t0: [16:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11703 id: Education Handout el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11703 id: Education Method el: 0 cu: MICU-A cg: RN v1: Not Given st: NotStopd t0: [16:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11703 id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Explanation st: NotStopd t0: [16:00:00 04/11/2011] id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11703 id: Education Response el: 0 cu: MICU-A cg: RN v1: Understands st: NotStopd t0: [16:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11703 id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [16:00:00 04/11/2011] id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: Medications st: NotStopd t0: [16:00:00 04/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 04/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 04/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11703 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [16:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11703 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [16:00:00 04/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [16:00:00 04/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 04/11/2011] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: RN v1: Rash st: NotStopd t0: [16:00:00 04/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [16:00:00 04/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 04/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 04/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 04/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 04/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [16:00:00 04/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 04/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [16:00:00 04/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [16:00:00 04/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11703 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Duoderm st: NotStopd t0: [16:00:00 04/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 04/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 04/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 04/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 04/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 04/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 04/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 04/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 04/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 04/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11703 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Sternal Rub v2: Withdraws st: NotStopd t0: [16:00:00 04/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 04/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 04/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 04/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 04/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 04/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 04/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [16:00:00 04/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [16:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11703 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [16:00:00 04/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 04/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [16:00:00 04/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 04/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 04/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 04/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 04/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 04/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 04/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 04/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [16:00:00 04/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 04/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [17:50:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11593 id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.31 rs: Final st: NotStopd t0: [17:50:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11593 id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -4 rs: Final st: NotStopd t0: [17:50:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11593 id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [17:50:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11593 id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [17:50:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11593 id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 83 u1: mmHg rs: Final st: NotStopd t0: [17:50:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11593 id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.31 rs: Final st: NotStopd
t0: [18:00:00 04/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 55 u1: ml/cmH st: NotStopd t0: [18:00:00 04/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [18:00:00 04/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 22 t0: [18:00:00 04/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [18:00:00 04/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [18:00:00 04/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [18:00:00 04/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.8 st: NotStopd t0: [18:00:00 04/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [18:00:00 04/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [18:00:00 04/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 36 u1: Deg. C st: NotStopd t0: [18:00:00 04/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [18:00:00 04/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4 st: NotStopd t0: [18:00:00 04/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [18:00:00 04/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 14.1 u1: L/min st: NotStopd t0: [18:00:00 04/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [18:00:00 04/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [18:00:00 04/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [18:00:00 04/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [18:00:00 04/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [18:00:00 04/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [18:00:00 04/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [18:00:00 04/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [18:00:00 04/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [18:00:00 04/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [18:00:00 04/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [18:00:00 04/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [18:00:00 04/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [17:50:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11593 id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.7 rs: Final st: NotStopd t0: [17:50:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11593 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.7 rs: Final st: NotStopd
t0: [18:00:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: Vent. Trigeminy st: NotStopd t0: [18:00:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 107 u1: BPM st: NotStopd t0: [18:00:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 128 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [18:00:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [18:00:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [18:00:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [18:00:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [18:00:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:00:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [18:00:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 04/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:33:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11610 id: PT el: 0 cu: MICU-A cg: 1663 v1: 12.8 rs: Final st: NotStopd t0: [17:33:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11610 id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [17:33:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11610 id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 43.5 rs: Final st: NotStopd t0: [17:33:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11610 id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [17:33:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11610 id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.8 rs: Final st: NotStopd t0: [17:33:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11610 id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 43.5 rs: Final st: NotStopd
t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 35.6 rs: Final st: NotStopd t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 35.6 rs: Final st: NotStopd t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 32.3 u1: % rs: Final st: NotStopd t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.5 u1: gm/dl rs: Final st: NotStopd t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 82 rs: Final st: NotStopd t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.45 u1: /mic l rs: Final st: NotStopd t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 35.6 rs: Final st: NotStopd
t0: [18:30:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:30:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:30:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:30:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:30:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [18:30:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [18:30:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 52 u1: mmHg st: NotStopd t0: [18:30:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [18:30:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [18:30:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:30:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [18:30:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:30:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:30:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [18:30:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [18:30:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:45:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:45:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:45:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:45:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:45:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [18:45:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [18:45:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg st: NotStopd t0: [18:45:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [18:45:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [18:45:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:45:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [18:45:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:45:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:45:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [18:45:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [18:45:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [19:00:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [19:00:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [19:00:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [19:00:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [19:00:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [19:00:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [19:00:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [19:00:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:30:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:30:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:30:00 04/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:45:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:45:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:45:00 04/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:00:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 1.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 04/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: BUN el: 0 cu: MICU-A cg: 1663 v1: 52 rs: Final st: NotStopd t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 102 rs: Final st: NotStopd t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.1 u1: mEq/L rs: Final st: NotStopd t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 135 rs: Final st: NotStopd t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 52 rs: Final st: NotStopd t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 21 rs: Final st: NotStopd t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 102 rs: Final st: NotStopd t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.1 u1: mEq/L rs: Final st: NotStopd t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.1 rs: Final st: NotStopd t0: [16:58:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11645 id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 135 rs: Final st: NotStopd
t0: [20:00:00 04/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Reinforced st: NotStopd t0: [20:00:00 04/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [20:00:00 04/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [20:00:00 04/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [20:00:00 04/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 04/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 04/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 04/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [20:00:00 04/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 04/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 04/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 04/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11463 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [20:00:00 04/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 04/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 04/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [20:00:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [20:00:00 04/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [20:00:00 04/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 04/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 6 mm st: NotStopd t0: [20:00:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 04/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [20:00:00 04/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 04/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 04/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11463 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [20:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11463 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [20:00:00 04/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [20:00:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [20:00:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11463 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 04/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 04/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [20:00:00 04/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 04/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 04/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [20:00:00 04/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11463 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 04/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 04/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [20:00:00 04/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 04/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 04/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 04/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 04/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [20:00:00 04/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [20:00:00 04/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [20:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11463 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 04/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [20:00:00 04/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [20:00:00 04/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 24 st: NotStopd t0: [20:00:00 04/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [20:00:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:00:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [20:00:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 04/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 04/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 04/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 04/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 04/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 04/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 04/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11463 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [20:00:00 04/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 04/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 04/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 04/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 04/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 04/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 04/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [20:00:00 04/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thin st: NotStopd t0: [20:00:00 04/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 04/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11463 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [20:00:00 04/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 04/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 04/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [20:00:00 04/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [20:00:00 04/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 04/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [20:00:00 04/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 04/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 04/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [16:00:00 04/11/2011] tf: [12:00:00 05/11/2011] dt: 1200 id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 0 vu: ml nb: 1 t0: [16:00:00 04/11/2011] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 16.2 vu: ml t0: [17:00:00 04/11/2011] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 13.5 vu: ml t0: [18:00:00 04/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 04/11/2011] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 10.8 vu: ml t0: [18:00:00 04/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 64 vu: ml t0: [18:00:00 04/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [19:00:00 04/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 04/11/2011] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 10.8 vu: ml t0: [19:00:00 04/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 60 vu: ml t0: [19:00:00 04/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 04/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 20 vu: ml t0: [20:00:00 04/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 04/11/2011] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 10.8 vu: ml t0: [20:00:00 04/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 60 vu: ml t0: [20:00:00 04/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 0 vu: ml nb: 1 t0: [20:00:00 04/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 04/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [20:00:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.177778 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 04/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
id: Gastric Meds el: 1 cu: MICU-A cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube
t0: [21:00:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [21:00:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [21:00:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11403 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 04/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [21:00:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 04/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 04/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11403 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 04/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [21:00:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [21:00:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [21:00:00 04/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [21:00:00 04/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [21:00:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [21:00:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:00:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [21:00:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 04/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [21:00:00 04/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 04/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [21:00:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 04/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 04/11/2011] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 10.8 vu: ml t0: [21:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11403 id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 60 vu: ml t0: [21:00:00 04/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 60 vu: ml t0: [21:00:00 04/11/2011] tf: [00:00:00 05/11/2011] dt: 180 id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 50 vu: ml t0: [21:00:00 04/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 04/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [21:00:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.162963 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 04/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 04/11/2011] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 60 ap: none
t0: [21:00:00 04/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 300 vu: ml
t0: [21:00:00 04/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 32.3529 u1: ml/cmH st: NotStopd t0: [21:00:00 04/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [21:00:00 04/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 15 t0: [21:00:00 04/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [21:00:00 04/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [21:00:00 04/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:00:00 04/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.8 st: NotStopd t0: [21:00:00 04/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [21:00:00 04/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 04/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 36.7 u1: Deg. C st: NotStopd t0: [21:00:00 04/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [21:00:00 04/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [21:00:00 04/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [21:00:00 04/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.9 u1: L/min st: NotStopd t0: [21:00:00 04/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:00:00 04/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [21:00:00 04/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [21:00:00 04/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [21:00:00 04/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [21:00:00 04/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [21:00:00 04/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:00:00 04/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Tenacious st: NotStopd t0: [21:00:00 04/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 570 u1: ml/B st: NotStopd t0: [21:00:00 04/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [21:00:00 04/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [21:00:00 04/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [21:00:00 04/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [22:00:00 04/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [22:00:00 04/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 04/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [22:00:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [22:00:00 04/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 6 mm st: NotStopd t0: [22:00:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 04/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [22:00:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [22:00:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 04/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [22:00:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [22:00:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [22:00:00 04/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:00:00 04/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [22:00:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [22:00:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:00:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [22:00:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 04/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 04/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 04/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 04/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 04/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 04/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11343 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [22:00:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 04/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 04/11/2011] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 13.5 vu: ml t0: [22:00:00 04/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 55 vu: ml t0: [22:00:00 04/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 04/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [22:00:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.162963 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 04/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 04/11/2011] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 04/11/2011] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1106 ap: none t0: [23:00:00 04/11/2011] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1386 ap: none
tf: [17:00:00 06/11/2011] pt: IV Large Volume rt: IV fr: ASDIR m1: Sodium Bicarbonate v1: 150 u1: mEq m2: D5W v2: 1000 u2: ml
t0: [20:00:00 04/11/2011] tf: [19:03:00 12/11/2011] dt: 11463 id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [23:00:00 04/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 04/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 04/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 04/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [23:00:00 04/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [23:00:00 04/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 04/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [23:00:00 04/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 04/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [23:00:00 04/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [23:00:00 04/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [23:00:00 04/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [23:00:00 04/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 04/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [23:00:00 04/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 04/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 04/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 04/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 04/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 182 rs: Manual st: NotStopd t0: [00:00:00 05/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Reinforced st: NotStopd t0: [00:00:00 05/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [00:00:00 05/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [00:00:00 05/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [00:00:00 05/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 05/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 05/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [00:00:00 05/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 05/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [00:00:00 05/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 05/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 05/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 05/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 05/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11223 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [00:00:00 05/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 05/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 05/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 05/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 05/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [00:00:00 05/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [00:00:00 05/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [00:00:00 05/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 05/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 6 mm st: NotStopd t0: [00:00:00 05/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 05/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [00:00:00 05/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [00:00:00 05/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 05/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11223 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [00:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11223 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [00:00:00 05/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [00:00:00 05/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [00:00:00 05/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11223 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 05/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 05/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [00:00:00 05/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 05/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 05/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [00:00:00 05/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11223 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 05/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 05/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [00:00:00 05/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 05/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 05/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 05/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 05/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 05/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 05/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [00:00:00 05/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 05/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [00:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11223 id: Pain Management el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 05/11/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v2: IV Gtt st: NotStopd t0: [00:00:00 05/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [00:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11223 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 05/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 05/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [00:00:00 05/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [00:00:00 05/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 24 st: NotStopd t0: [00:00:00 05/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 05/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [00:00:00 05/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:00:00 05/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [00:00:00 05/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 05/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 05/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 05/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 05/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 05/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 05/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 05/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 05/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 05/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 05/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 05/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 05/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 05/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 05/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 05/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 05/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11223 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 05/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 05/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [00:00:00 05/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [00:00:00 05/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 05/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [00:00:00 05/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 05/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 05/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 05/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 05/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 05/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 05/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 05/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 05/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 05/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 05/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [22:00:00 04/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 50 vu: ml t0: [23:00:00 04/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [23:00:00 04/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 04/11/2011] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 13.5 vu: ml t0: [23:00:00 04/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 55 vu: ml t0: [23:00:00 04/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 50 vu: ml t0: [23:00:00 04/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 05/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 150 vu: ml t0: [00:00:00 05/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 05/11/2011] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 13.5 vu: ml t0: [00:00:00 05/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 50 vu: ml t0: [00:00:00 05/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: RN ai: 3680 vo: 50 vu: ml st: Stopped t0: [00:00:00 05/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 05/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 150 vu: ml
t0: [23:00:00 04/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 04/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.148148 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 04/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 05/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 05/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.133333 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 05/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 04/11/2011] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 183.5 cv: 183.5 ap: none t0: [23:00:00 04/11/2011] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 133.5 cv: 2585.46 ap: none t0: [23:00:00 04/11/2011] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 183.5 cv: 3345.46 ap: none t0: [23:00:00 04/11/2011] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 183.5 cv: 1959.46 ap: none t0: [23:00:00 04/11/2011] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 183.5 cv: 12819.1 ap: carryForward t0: [23:00:00 05/11/2011] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 30 cv: 370 ap: none
t0: [21:00:00 04/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 05/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.5 u1: ml/cmH st: NotStopd t0: [00:00:00 05/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 05/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 15 t0: [00:00:00 05/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 05/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 05/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 05/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 05/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 05/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 36.7 u1: Deg. C st: NotStopd t0: [00:00:00 05/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [00:00:00 05/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [00:00:00 05/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [00:00:00 05/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.8 u1: L/min st: NotStopd t0: [00:00:00 05/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 05/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [00:00:00 05/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [00:00:00 05/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 3 u1: BPM st: NotStopd t0: [00:00:00 05/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [00:00:00 05/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:00:00 05/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 05/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: None st: NotStopd t0: [00:00:00 05/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [00:00:00 05/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [00:00:00 05/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 05/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [00:00:00 05/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11223 id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Abdominal Xray st: NotStopd
t0: [00:00:00 05/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 05/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 05/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 05/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [00:00:00 05/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 05/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 05/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [00:00:00 05/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [01:00:00 05/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 05/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 05/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 05/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [01:00:00 05/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [01:00:00 05/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 05/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [01:00:00 05/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 05/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [01:00:00 05/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [01:00:00 05/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:00:00 05/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [01:00:00 05/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:00:00 05/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [01:00:00 05/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 05/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 05/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [01:00:00 05/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [01:00:00 05/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 05/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 05/11/2011] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 13.5 vu: ml t0: [01:00:00 05/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 45 vu: ml t0: [01:00:00 05/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 05/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 70 vu: ml
t0: [01:00:00 05/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 05/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.103704 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 05/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [10:00:00 06/11/2011] pt: IV Piggyback rt: IV fr: Q8H fs: 2, 10, 18 dn: 3 m1: Hydrocortisone Na Succ. v1: 25 u1: mg m2: Syringe v2: 1 u2: SYR
t0: [02:00:00 05/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [02:00:00 05/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 05/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 05/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [02:00:00 05/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 05/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 05/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 05/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [02:00:00 05/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [02:00:00 05/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 6 mm st: NotStopd t0: [02:00:00 05/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 05/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [02:00:00 05/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [02:00:00 05/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 05/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [02:00:00 05/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [02:00:00 05/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [02:00:00 05/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 05/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [02:00:00 05/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [02:00:00 05/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [02:00:00 05/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [02:00:00 05/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [02:00:00 05/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 05/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 05/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 05/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 05/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 05/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 05/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 05/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11103 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [02:00:00 05/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 05/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 500 vu: ml t0: [02:00:00 05/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 05/11/2011] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 13.5 vu: ml t0: [02:00:00 05/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 35 vu: ml t0: [02:00:00 05/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 05/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [02:00:00 05/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 05/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0740741 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 05/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:42:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11061 id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.32 rs: Final st: NotStopd t0: [02:42:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11061 id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.3 rs: Final st: NotStopd t0: [02:42:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11061 id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -2 rs: Final st: NotStopd t0: [02:42:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11061 id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 25 rs: Final st: NotStopd t0: [02:42:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11061 id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [02:42:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11061 id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 114 u1: mmHg rs: Final st: NotStopd t0: [02:42:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11061 id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.32 rs: Final st: NotStopd t0: [02:42:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11061 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.3 rs: Final st: NotStopd
t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 34.2 rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 34.2 rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30.5 u1: % rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10 u1: gm/dl rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 59 rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.3 u1: /mic l rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 34.2 rs: Final st: NotStopd
t0: [03:00:00 05/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 22.9167 u1: ml/cmH st: NotStopd t0: [03:00:00 05/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [03:00:00 05/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 15 t0: [03:00:00 05/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [03:00:00 05/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [03:00:00 05/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [03:00:00 05/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [03:00:00 05/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [03:00:00 05/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 36.8 u1: Deg. C st: NotStopd t0: [03:00:00 05/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [03:00:00 05/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [03:00:00 05/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [03:00:00 05/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.8 u1: L/min st: NotStopd t0: [03:00:00 05/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [03:00:00 05/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [03:00:00 05/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [03:00:00 05/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 1 u1: BPM st: NotStopd t0: [03:00:00 05/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [03:00:00 05/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [03:00:00 05/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [03:00:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [03:00:00 05/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Plug st: NotStopd t0: [03:00:00 05/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [03:00:00 05/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 610 u1: ml/B st: NotStopd t0: [03:00:00 05/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [03:00:00 05/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [03:00:00 05/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [03:00:00 05/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [03:00:00 05/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 05/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [03:00:00 05/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 05/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11043 id: ETT Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 05/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [03:00:00 05/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [03:00:00 05/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 05/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 05/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [03:00:00 05/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 05/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 05/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 05/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [03:00:00 05/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [03:00:00 05/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [03:00:00 05/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 05/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:00:00 05/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [03:00:00 05/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [03:00:00 05/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [03:00:00 05/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 05/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 05/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [03:00:00 05/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 05/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 05/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [03:00:00 05/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 05/11/2011] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 13.5 vu: ml t0: [03:00:00 05/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 25 vu: ml t0: [03:00:00 05/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 05/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [03:00:00 05/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 05/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0740741 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 05/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: BUN el: 0 cu: MICU-A cg: 1663 v1: 52 rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 100 rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 171 rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.8 u1: mEq/L rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 132 rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 52 rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.8 u1: mg/dl rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 20 rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 100 rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 171 rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.8 u1: mEq/L rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 132 rs: Final st: NotStopd
t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: PT el: 0 cu: MICU-A cg: 1663 v1: 12.6 rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 41.3 rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.6 rs: Final st: NotStopd t0: [02:37:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 11066 id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 41.3 rs: Final st: NotStopd
t0: [04:25:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10958 id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.34 rs: Final st: NotStopd t0: [04:25:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10958 id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -4 rs: Final st: NotStopd t0: [04:25:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10958 id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [04:25:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10958 id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [04:25:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10958 id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 80 u1: mmHg rs: Final st: NotStopd t0: [04:25:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10958 id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.34 rs: Final st: NotStopd
t0: [04:00:00 05/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Changed st: NotStopd t0: [04:00:00 05/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [04:00:00 05/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [04:00:00 05/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [04:00:00 05/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 05/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 05/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [04:00:00 05/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 05/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [04:00:00 05/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 05/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 05/11/2011] id: Communication el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 05/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 05/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10983 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [04:00:00 05/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 05/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 05/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 05/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 05/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [04:00:00 05/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:00:00 05/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [04:00:00 05/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 05/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 6 mm st: NotStopd t0: [04:00:00 05/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 05/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [05:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10923 id: Eye Care el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 05/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 05/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10983 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [04:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10983 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [04:00:00 05/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [04:00:00 05/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [04:00:00 05/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10983 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 05/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 05/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [04:00:00 05/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 05/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 05/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 05/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [04:00:00 05/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 05/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10983 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 05/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 05/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [04:00:00 05/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 05/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 05/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 05/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 05/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 05/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [05:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10923 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [04:00:00 05/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 05/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [04:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10983 id: Pain Management el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 05/11/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [04:00:00 05/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [04:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10983 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 05/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10983 id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10983 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis st: NotStopd t0: [04:00:00 05/11/2011] id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: 0.5 cm st: NotStopd t0: [04:00:00 05/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Serous v2: Moderate st: NotStopd t0: [04:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10983 id: PressSore Wth/Lth #1 el: 0 cu: MICU-A cg: RN v1: 1 cm v2: 1 cm st: NotStopd t0: [04:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10983 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Wound Cleanser st: NotStopd t0: [04:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10983 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 05/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 25 st: NotStopd t0: [04:00:00 05/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 25 st: NotStopd t0: [04:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10983 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [04:00:00 05/11/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [04:00:00 05/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 05/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [04:00:00 05/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [04:00:00 05/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [04:00:00 05/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 05/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10923 id: Procedures el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 05/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 05/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 05/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 05/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 05/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 05/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 05/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 05/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 05/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 05/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 05/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 05/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 05/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [04:00:00 05/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 05/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 05/11/2011] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 05/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10983 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 05/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [04:00:00 05/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [04:00:00 05/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [04:00:00 05/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 05/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [04:00:00 05/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 05/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 05/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [04:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10983 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [04:00:00 05/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [05:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10923 id: BATH el: 0 cu: MICU-A cg: RN v1: Done t0: [05:00:00 05/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 05/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 05/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 05/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [05:00:00 05/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [05:00:00 05/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 05/11/2011] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 05/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 05/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [05:00:00 05/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 05/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 05/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 05/11/2011] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 05/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [05:00:00 05/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [05:00:00 05/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [05:00:00 05/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [05:00:00 05/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 05/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [05:00:00 05/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [05:00:00 05/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [05:00:00 05/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [05:00:00 05/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 05/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 05/11/2011] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 05/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 05/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [05:00:00 05/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 05/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 05/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 05/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 30 vu: ml t0: [04:00:00 05/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 05/11/2011] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 13.5 vu: ml t0: [04:00:00 05/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 25 vu: ml t0: [04:00:00 05/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 05/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 05/11/2011] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 13.5 vu: ml t0: [05:00:00 05/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 25 vu: ml t0: [05:00:00 05/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 05/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 225 vu: ml t0: [05:00:00 05/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [04:00:00 05/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 05/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0740741 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 05/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 05/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 05/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0740741 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 05/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:00:00 05/11/2011] id: RSBI (<100) el: 0 cu: MICU-A cg: RRT v1: 43.2277 u1: units st: NotStopd t0: [05:00:00 05/11/2011] id: RSBI (<200) el: 0 cu: MICU-A cg: RRT v1: 43.2277 u1: units st: NotStopd t0: [05:00:00 05/11/2011] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: RRT v1: 15 u1: BPM st: NotStopd t0: [05:00:00 05/11/2011] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: RRT v1: 0.347 u1: L st: NotStopd
t0: [20:00:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:00:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [22:00:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 04/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:00:00 05/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [00:00:00 05/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 05/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 05/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 05/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 05/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [04:00:00 05/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 05/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 05/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [06:00:00 05/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 05/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 05/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 05/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 05/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 05/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [06:00:00 05/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [06:00:00 05/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 6 mm st: NotStopd t0: [06:00:00 05/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 05/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [06:00:00 05/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [06:00:00 05/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 05/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: RN v1: Extremities, Lo st: NotStopd t0: [06:00:00 05/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [06:00:00 05/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [06:00:00 05/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 05/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [06:00:00 05/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [06:00:00 05/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [06:00:00 05/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [06:00:00 05/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [06:00:00 05/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 05/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 05/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 05/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 05/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 05/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 05/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 05/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 05/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10863 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [06:00:00 05/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 05/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 169 rs: Manual st: NotStopd
t0: [06:00:00 05/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 05/11/2011] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 13.5 vu: ml t0: [06:00:00 05/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 25 vu: ml t0: [06:00:00 05/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 05/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 55 vu: ml
t0: [06:00:00 05/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 05/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0740741 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 05/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 05/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 20.3704 u1: ml/cmH st: NotStopd t0: [08:00:00 05/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 05/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 15 t0: [08:00:00 05/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 05/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 05/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 05/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.8 st: NotStopd t0: [08:00:00 05/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 05/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 05/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 36 u1: Deg. C st: NotStopd t0: [08:00:00 05/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [08:00:00 05/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [08:00:00 05/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 05/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.8 u1: L/min st: NotStopd t0: [08:00:00 05/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 05/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [08:00:00 05/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [08:00:00 05/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 05/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [08:00:00 05/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [08:00:00 05/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [08:00:00 05/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [08:00:00 05/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 05/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [08:00:00 05/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [08:00:00 05/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 05/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [08:00:00 05/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 05/11/2011] id: Communication el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 05/11/2011] id: Imp Skin Cleanse #1 el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 05/11/2011] id: ImpSkin Character #1 el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 05/11/2011] id: ImpSkin Drain/Amt#1 el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 05/11/2011] id: ImpSkin Treatment #1 el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 05/11/2011] id: ImpSkin Wound Base#1 el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 05/11/2011] id: ImpSkin Wth/Lth #1 el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 05/11/2011] id: Impaired Skin Site#1 el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 05/11/2011] id: RLE/LLE Sensation el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 05/11/2011] id: RUE/LUE Sensation el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 05/11/2011] id: Seizure Activity el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 05/11/2011] id: Seizure Duration el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 05/11/2011] id: Speech el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [09:00:00 05/11/2011] id: Bladder Irrigation el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [07:00:00 05/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 05/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 05/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 05/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 05/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [07:00:00 05/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [07:00:00 05/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [08:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10743 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [07:00:00 05/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [07:00:00 05/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [07:00:00 05/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [07:00:00 05/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [07:00:00 05/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 05/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [07:00:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [07:00:00 05/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 05/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 05/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 05/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [08:00:00 05/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [08:00:00 05/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 05/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10743 id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 05/11/2011] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 05/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 05/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [08:00:00 05/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [08:00:00 05/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 05/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 05/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 05/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 05/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 05/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 05/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 05/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 05/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 05/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 05/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [08:00:00 05/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 05/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 6 mm st: NotStopd t0: [08:00:00 05/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10683 id: Eye Care el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 05/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 05/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10743 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [08:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10743 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [08:00:00 05/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [08:00:00 05/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [08:00:00 05/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 05/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 05/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 05/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 05/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 05/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 05/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 05/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [09:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10683 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 05/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 05/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10743 id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [08:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10743 id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 05/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [08:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10743 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 05/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 05/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [08:00:00 05/11/2011] id: PresSoreStage/Heal#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: No st: NotStopd t0: [08:00:00 05/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Serosanguinous v2: Scant st: NotStopd t0: [08:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10743 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Normal Saline st: NotStopd t0: [08:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10743 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10743 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [08:00:00 05/11/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [08:00:00 05/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 05/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [08:00:00 05/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 05/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [08:00:00 05/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 05/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 05/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [08:00:00 05/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 05/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 05/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 05/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 05/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 05/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 05/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 05/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 05/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [08:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10743 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 05/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 05/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 05/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 05/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 05/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 05/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 05/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 05/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 05/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10743 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [08:00:00 05/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 05/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 05/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [08:00:00 05/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [08:00:00 05/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 05/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [08:00:00 05/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 05/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10743 id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 05/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 05/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 05/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 05/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 05/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 05/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 05/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 05/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10743 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [08:00:00 05/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd t0: [09:00:00 05/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 05/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 05/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 05/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 05/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 05/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 05/11/2011] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 05/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [09:00:00 05/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [09:00:00 05/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10683 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [09:00:00 05/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [09:00:00 05/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [09:00:00 05/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [09:00:00 05/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [09:00:00 05/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 05/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [09:00:00 05/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [09:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10683 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [09:00:00 05/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [09:00:00 05/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 05/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 05/11/2011] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [09:00:00 05/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 05/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [09:00:00 05/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [09:00:00 05/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [09:00:00 05/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 05/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:00:00 05/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 25 st: NotStopd t0: [09:00:00 05/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 25 st: NotStopd t0: [09:00:00 05/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [09:00:00 05/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 05/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [09:00:00 05/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 05/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 05/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [09:00:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 05/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [09:00:00 05/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [09:00:00 05/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 05/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 300 vu: ml t0: [08:00:00 05/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 05/11/2011] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 27 vu: ml t0: [08:00:00 05/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 50 vu: ml t0: [08:00:00 05/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 05/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [09:00:00 05/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 05/11/2011] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 13.5 vu: ml t0: [09:00:00 05/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.875 vu: ml t0: [09:00:00 05/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml
t0: [07:00:00 05/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 05/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0740741 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 05/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 05/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 05/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 05/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 05/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 05/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 05/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 05/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 05/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 05/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 05/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 05/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 05/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 05/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [10:00:00 05/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 05/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [10:00:00 05/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [10:00:00 05/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:00:00 05/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 100 u2: mmHg st: NotStopd t0: [10:00:00 05/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 05/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [10:00:00 05/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 05/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 05/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [10:00:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 05/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 05/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 05/11/2011] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 13.5 vu: ml t0: [10:00:00 05/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 13.5 vu: ml t0: [10:00:00 05/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 05/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml
t0: [10:00:00 05/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 05/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 05/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [10:00:00 05/11/2011] pt: Unit Dose rt: PO fr: QIDACHS fs: 08, 11, 16, 22 dn: 4 m1: Metoclopramide v1: 10 u1: mg tf: [14:00:00 12/11/2011] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Midazolam HCl v1: 50 u1: mg m2: D5W v2: 50 u2: ml tf: [14:00:00 12/11/2011] pt: Unit Dose rt: IV fr: Q6H fs: 11, 17, 23, 5 dn: 4 m1: Metoclopramide v1: 10 u1: mg
id: Criticare HN el: 1 cu: MICU-A cg: RN io: Criticare HN Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [10:00:00 05/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [10:00:00 05/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 05/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 05/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 05/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 05/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 05/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 05/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 05/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 05/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 05/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 05/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 05/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 05/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 05/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 05/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 05/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 05/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [11:00:00 05/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 05/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 05/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 05/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 05/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [11:00:00 05/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [11:00:00 05/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [11:00:00 05/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 05/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [11:00:00 05/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 05/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [11:00:00 05/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 05/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 05/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [11:00:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 05/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [11:00:00 05/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [11:00:00 05/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [11:00:00 05/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [11:00:00 05/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 05/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 15 vu: ml t0: [11:00:00 05/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 05/11/2011] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 126 vo: 13.5 vu: ml t0: [11:00:00 05/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 10.125 vu: ml t0: [11:00:00 05/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 05/11/2011] tf: [00:00:00 06/11/2011] dt: 780 id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 20 vu: ml
t0: [11:00:00 05/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 05/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 05/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 05/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd
t0: [12:00:00 05/11/2011] id: N/A 100.0vl + 1000mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: -1 ai: 126 vo: 0 st: D/C'd
t0: [12:00:00 05/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 05/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 05/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [12:00:00 05/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [12:00:00 05/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 05/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10503 id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 05/11/2011] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 05/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 05/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [12:00:00 05/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [12:00:00 05/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 05/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 05/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 05/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 05/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 05/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 05/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 05/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 05/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 05/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 05/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [12:00:00 05/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 05/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10503 id: Family Communication el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 05/11/2011] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 05/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 05/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10503 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [12:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10503 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [12:00:00 05/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [12:00:00 05/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [12:00:00 05/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10503 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 05/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 05/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [12:00:00 05/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 05/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 05/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 05/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [12:00:00 05/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 05/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10503 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 05/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 05/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 05/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 05/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 05/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 05/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 05/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 05/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 05/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [12:00:00 05/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [12:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10503 id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [12:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10503 id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 05/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [12:00:00 05/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 05/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [12:00:00 05/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 25 st: NotStopd t0: [12:00:00 05/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 25 st: NotStopd t0: [12:00:00 05/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [12:00:00 05/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 05/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [12:00:00 05/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 05/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 05/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [12:00:00 05/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 05/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 05/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 05/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 05/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [12:00:00 05/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 05/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 05/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 05/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [12:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10503 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 05/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 05/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 05/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 05/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 05/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 05/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 05/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [12:00:00 05/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [12:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10503 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [12:00:00 05/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 05/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 05/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [12:00:00 05/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [12:00:00 05/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 05/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [12:00:00 05/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 05/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10503 id: Behavior el: 0 cu: MICU-A cg: RN v1: Restless st: NotStopd t0: [12:00:00 05/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 161 rs: Manual st: NotStopd t0: [12:00:00 05/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [12:00:00 05/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd t0: [13:00:00 05/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 05/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 05/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 05/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [13:00:00 05/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [13:00:00 05/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 05/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [13:00:00 05/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 05/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [13:00:00 05/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [13:00:00 05/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [13:00:00 05/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [13:00:00 05/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:00:00 05/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [13:00:00 05/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 05/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 05/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [13:00:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 05/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 05/11/2011] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 60 vu: ml t0: [10:00:00 05/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [10:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10623 id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [12:00:00 05/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 250 vu: ml t0: [12:00:00 05/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 05/11/2011] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 60 vu: ml t0: [12:00:00 05/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 6.75 vu: ml t0: [12:00:00 05/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 05/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 20 vu: ml t0: [12:00:00 05/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml t0: [12:00:00 05/11/2011] tf: [15:00:00 12/11/2011] dt: 10260 id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [13:00:00 05/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 05/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 3.375 vu: ml t0: [13:00:00 05/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 05/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 20 vu: ml t0: [13:00:00 05/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [12:00:00 05/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 05/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 05/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 05/11/2011] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip st: Stopped t0: [13:00:00 05/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 05/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 05/11/2011] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 100 ap: none
t0: [13:00:00 05/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 23.913 u1: ml/cmH st: NotStopd t0: [13:00:00 05/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [13:00:00 05/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 20 t0: [13:00:00 05/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [13:00:00 05/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [13:00:00 05/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [13:00:00 05/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3 st: NotStopd t0: [13:00:00 05/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [13:00:00 05/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 05/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 36 u1: Deg. C st: NotStopd t0: [13:00:00 05/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [13:00:00 05/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [13:00:00 05/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:00:00 05/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10 u1: L/min st: NotStopd t0: [13:00:00 05/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [13:00:00 05/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [13:00:00 05/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [13:00:00 05/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [13:00:00 05/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [13:00:00 05/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [13:00:00 05/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [13:00:00 05/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [13:00:00 05/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [13:00:00 05/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [13:00:00 05/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [13:00:00 05/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [13:00:00 05/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [14:00:00 05/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Family at Bedsid st: NotStopd t0: [14:00:00 05/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 05/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 05/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 05/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 05/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 05/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 05/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 05/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10383 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 05/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 05/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [14:00:00 05/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 05/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 05/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10383 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 05/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 05/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [14:00:00 05/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 56 u1: mmHg st: NotStopd t0: [14:00:00 05/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [14:00:00 05/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 05/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 05/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [14:00:00 05/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [14:00:00 05/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 05/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [14:00:00 05/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 05/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 05/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 05/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 05/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [14:00:00 05/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 05/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 05/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 05/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 05/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [14:00:00 05/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [14:00:00 05/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 05/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 05/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 3.375 vu: ml t0: [14:00:00 05/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 05/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [14:00:00 05/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [13:00:00 05/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 05/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 05/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 05/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [15:00:00 05/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 22 u1: ml/cmH st: NotStopd t0: [15:00:00 05/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [15:00:00 05/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 20 t0: [15:00:00 05/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [15:00:00 05/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [15:00:00 05/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [15:00:00 05/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.8 st: NotStopd t0: [15:00:00 05/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [15:00:00 05/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [15:00:00 05/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 36 u1: Deg. C st: NotStopd t0: [15:00:00 05/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [15:00:00 05/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [15:00:00 05/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [15:00:00 05/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.5 u1: L/min st: NotStopd t0: [15:00:00 05/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:00:00 05/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [15:00:00 05/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [15:00:00 05/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 1 u1: BPM st: NotStopd t0: [15:00:00 05/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [15:00:00 05/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [15:00:00 05/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [15:00:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [15:00:00 05/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [15:00:00 05/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [15:00:00 05/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [15:00:00 05/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [15:00:00 05/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [15:00:00 05/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [15:00:00 05/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [16:11:00 05/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:11:00 05/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:11:00 05/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [16:11:00 05/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:11:00 05/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [16:11:00 05/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:11:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10252 id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 20 u1: . st: NotStopd t0: [16:11:00 05/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 16 u1: BPM st: NotStopd t0: [16:11:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [16:11:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10252 id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [16:11:00 05/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [16:11:00 05/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [16:17:00 05/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:17:00 05/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [16:17:00 05/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:17:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10246 id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 15 u1: . st: NotStopd t0: [16:17:00 05/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 21 u1: BPM st: NotStopd t0: [16:17:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [16:17:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10246 id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 612 u1: ml/B st: NotStopd t0: [16:17:00 05/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [16:17:00 05/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [15:00:00 05/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 05/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 05/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 05/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [15:00:00 05/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [15:00:00 05/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 05/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [15:00:00 05/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 05/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [15:00:00 05/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [15:00:00 05/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [15:00:00 05/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [15:00:00 05/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [15:00:00 05/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [15:00:00 05/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [15:00:00 05/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 05/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [15:00:00 05/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 05/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Changed st: NotStopd t0: [16:00:00 05/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [16:00:00 05/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [16:00:00 05/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Family at Bedsid st: NotStopd t0: [16:00:00 05/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 05/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10263 id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 05/11/2011] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 05/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 05/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [16:00:00 05/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 05/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 05/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 05/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 05/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 05/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 05/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 05/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 05/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:00:00 05/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:00:00 05/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [16:00:00 05/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 05/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10263 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10263 id: Family Communication el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 05/11/2011] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 05/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 05/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10263 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [16:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10263 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [16:00:00 05/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [16:00:00 05/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 05/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [16:00:00 05/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10263 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 05/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 05/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [16:00:00 05/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 05/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 05/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 05/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [16:00:00 05/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 05/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10263 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 05/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 05/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 05/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 05/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 05/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 05/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 05/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 05/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 05/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [16:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10263 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 05/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 05/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [16:00:00 05/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 05/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [16:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10263 id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [16:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10263 id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 05/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [16:00:00 05/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [16:00:00 05/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 05/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 05/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:00:00 05/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 25 st: NotStopd t0: [16:00:00 05/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 25 st: NotStopd t0: [16:00:00 05/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [16:00:00 05/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:00:00 05/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [16:00:00 05/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:00:00 05/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10263 id: Procedures el: 0 cu: MICU-A cg: RN v1: Blood Cultured st: NotStopd t0: [16:00:00 05/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [16:00:00 05/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 05/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 05/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 05/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 05/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 05/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 05/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 05/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 05/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [16:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10263 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 05/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 05/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 05/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 05/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 05/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 05/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [16:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10263 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [16:00:00 05/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 05/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 05/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [16:00:00 05/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [16:00:00 05/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [16:00:00 05/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [16:00:00 05/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 05/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [16:00:00 05/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 05/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10263 id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [16:00:00 05/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10263 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [16:00:00 05/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [14:00:00 05/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 20 vu: ml t0: [16:00:00 05/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 300 vu: ml t0: [16:00:00 05/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 35 vu: ml t0: [16:00:00 05/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 05/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.875 vu: ml t0: [16:00:00 05/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 05/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 40 vu: ml t0: [16:00:00 05/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml
t0: [15:00:00 05/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 05/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 05/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 05/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 05/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [16:00:00 05/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [17:00:00 05/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 05/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 05/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 05/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [17:00:00 05/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [17:00:00 05/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 05/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [17:00:00 05/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 05/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [17:00:00 05/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [17:00:00 05/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [17:00:00 05/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [17:00:00 05/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 05/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [17:00:00 05/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 05/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 05/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [17:00:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 05/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 05/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml t0: [17:00:00 05/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 05/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml t0: [17:00:00 05/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 05/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 20 vu: ml t0: [17:00:00 05/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [17:00:00 05/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 05/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [17:00:00 05/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [17:00:00 05/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 05/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [17:00:00 05/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 05/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [17:00:00 05/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10203 id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [17:00:00 05/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10203 id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 745 u1: ml/B st: NotStopd t0: [17:00:00 05/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [18:00:00 05/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [18:00:00 05/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 05/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 05/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 05/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 05/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 05/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [18:00:00 05/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [18:00:00 05/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 05/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [18:00:00 05/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 05/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [18:00:00 05/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [18:00:00 05/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 05/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [18:00:00 05/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [18:00:00 05/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 05/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [18:00:00 05/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:00:00 05/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 05/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 05/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 05/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 9 u1: BPM st: NotStopd t0: [18:00:00 05/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 05/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 05/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 05/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 05/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 05/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 130 rs: Manual st: NotStopd
t0: [16:00:00 05/11/2011] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 60 vu: ml t0: [17:00:00 05/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [18:00:00 05/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 05/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml t0: [18:00:00 05/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 05/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 30 vu: ml t0: [18:00:00 05/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 190 vu: ml t0: [18:00:00 05/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 110 vu: ml t0: [18:00:00 05/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [18:00:00 05/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 05/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 05/11/2011] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 180 ap: none t0: [23:00:00 05/11/2011] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU-A cg: RN cv: 415 ap: none
t0: [18:02:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10141 id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.33 rs: Final st: NotStopd t0: [18:02:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10141 id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -2 rs: Final st: NotStopd t0: [18:02:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10141 id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [18:02:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10141 id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [18:02:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10141 id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 94 u1: mmHg rs: Final st: NotStopd t0: [18:02:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10141 id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.33 rs: Final st: NotStopd
t0: [18:02:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10141 id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.1 rs: Final st: NotStopd t0: [18:02:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10141 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.1 rs: Final st: NotStopd
t0: [16:00:00 05/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [19:00:00 05/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 05/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 05/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 05/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [19:00:00 05/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [19:00:00 05/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 05/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [19:00:00 05/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 05/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [19:00:00 05/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [19:00:00 05/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [19:00:00 05/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [19:00:00 05/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [19:00:00 05/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [19:00:00 05/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 05/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 05/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [19:00:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 05/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 05/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 05/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml t0: [19:00:00 05/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 05/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 30 vu: ml t0: [19:00:00 05/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [19:00:00 05/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [19:00:00 05/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 05/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [17:42:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10161 id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 27.7 u1: % rs: Final st: NotStopd
t0: [17:42:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10161 id: PT el: 0 cu: MICU-A cg: 1663 v1: 12.2 rs: Final st: NotStopd t0: [17:42:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10161 id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [17:42:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10161 id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 44.6 rs: Final st: NotStopd t0: [17:42:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10161 id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [17:42:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10161 id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.2 rs: Final st: NotStopd t0: [17:42:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10161 id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 44.6 rs: Final st: NotStopd
t0: [20:00:00 05/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 21.1538 u1: ml/cmH st: NotStopd t0: [20:00:00 05/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 05/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 20 t0: [20:00:00 05/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 05/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 05/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 05/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 05/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 05/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 36 u1: Deg. C st: NotStopd t0: [20:00:00 05/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [20:00:00 05/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [20:00:00 05/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [20:00:00 05/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12.1 u1: L/min st: NotStopd t0: [20:00:00 05/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 05/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:00:00 05/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [20:00:00 05/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 4 u1: BPM st: NotStopd t0: [20:00:00 05/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [20:00:00 05/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [20:00:00 05/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [20:00:00 05/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Plug st: NotStopd t0: [20:00:00 05/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 05/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [20:00:00 05/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [20:00:00 05/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 05/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [20:00:00 05/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
tf: [17:00:00 06/11/2011] pt: Unit Dose rt: TP fr: BID fs: 08, 20 dn: 2 m1: Triamcinolone Acetonide 0.1% Ointment v1: 1 u1: Appl
t0: [20:00:00 05/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 05/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [20:00:00 05/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [20:00:00 05/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [20:00:00 05/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 05/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 05/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [20:00:00 05/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 05/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [20:00:00 05/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 05/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 05/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 05/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 05/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 05/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 05/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 05/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 05/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [20:00:00 05/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [20:00:00 05/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [20:00:00 05/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 05/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 6 mm st: NotStopd t0: [20:00:00 05/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 05/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 05/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 05/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10023 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [20:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10023 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [20:00:00 05/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 05/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 05/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [20:00:00 05/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10023 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 05/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 05/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [20:00:00 05/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 05/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 05/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 05/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [20:00:00 05/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 05/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10023 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 05/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 05/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 05/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 05/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 05/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 05/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 05/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 05/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 05/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10023 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 05/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 05/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 05/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 05/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [20:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10023 id: Pain Management el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 05/11/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [20:00:00 05/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [20:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10023 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 05/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 05/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 05/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10023 id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [20:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10023 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [20:00:00 05/11/2011] id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: 0.5 cm st: NotStopd t0: [20:00:00 05/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Serous v2: Large st: NotStopd t0: [20:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10023 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [20:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10023 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 05/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 25 st: NotStopd t0: [20:00:00 05/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 25 st: NotStopd t0: [20:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10023 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [20:00:00 05/11/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [20:00:00 05/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 05/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [20:00:00 05/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:00:00 05/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [20:00:00 05/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 05/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 05/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Nonreactive v2: Sluggish st: NotStopd t0: [20:00:00 05/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 05/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 05/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 05/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 05/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 05/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 05/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 05/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10023 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [20:00:00 05/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 05/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 05/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 05/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 05/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 05/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 05/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 05/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 05/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [20:00:00 05/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10023 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 05/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 05/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [20:00:00 05/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [20:00:00 05/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [20:00:00 05/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 05/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 05/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [20:00:00 05/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 05/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 05/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 05/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 05/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 05/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 05/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 05/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 05/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 05/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 05/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 10023 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [20:00:00 05/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [20:00:00 05/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 300 vu: ml t0: [20:00:00 05/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 80 vu: ml t0: [20:00:00 05/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 05/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml t0: [20:00:00 05/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 05/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 30 vu: ml t0: [20:00:00 05/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [20:00:00 05/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [20:00:00 05/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 05/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [21:00:00 05/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 05/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 05/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 05/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [21:00:00 05/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [21:00:00 05/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 05/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [21:00:00 05/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 05/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [21:00:00 05/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [21:00:00 05/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [21:00:00 05/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [21:00:00 05/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:00:00 05/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [21:00:00 05/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 05/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 05/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [21:00:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [21:00:00 05/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 05/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 05/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml nb: 1 t0: [21:00:00 05/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 05/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 30 vu: ml t0: [21:00:00 05/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 10 vu: ml t0: [21:00:00 05/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [21:00:00 05/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 05/11/2011] tf: [08:00:00 06/11/2011] dt: 660 id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 05/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [21:15:00 05/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:15:00 05/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:15:00 05/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:15:00 05/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [21:15:00 05/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [21:15:00 05/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:15:00 05/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [21:15:00 05/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:15:00 05/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [21:15:00 05/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [21:15:00 05/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [21:15:00 05/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [21:15:00 05/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:15:00 05/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [21:15:00 05/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:15:00 05/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:15:00 05/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [21:15:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [21:15:00 05/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [21:15:00 05/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [21:15:00 05/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [21:15:00 05/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:15:00 05/11/2011] tf: [00:00:00 06/11/2011] dt: 165 id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 375 vu: ml nb: 1
t0: [21:15:00 05/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:15:00 05/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:15:00 05/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [22:00:00 05/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 05/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 05/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 05/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [22:00:00 05/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [22:00:00 05/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 05/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [22:00:00 05/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 05/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [22:00:00 05/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [22:00:00 05/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:00:00 05/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [22:00:00 05/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:00:00 05/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [22:00:00 05/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 05/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 05/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [22:00:00 05/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [22:00:00 05/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [22:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 9903 id: WarmingDevice/Status el: 0 cu: MICU-A cg: RN v1: Blanket v2: On st: NotStopd t0: [22:00:00 05/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 05/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 05/11/2011] tf: [10:00:00 06/11/2011] dt: 720 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 6.75 vu: ml t0: [22:00:00 05/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 05/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 30 vu: ml t0: [22:00:00 05/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml t0: [22:00:00 05/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [22:00:00 05/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 05/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 05/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
tf: [14:00:00 12/11/2011] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
t0: [23:00:00 05/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 05/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 05/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 05/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [23:00:00 05/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [23:00:00 05/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 05/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 05/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [23:00:00 05/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 05/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 05/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 9843 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 05/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 05/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [23:00:00 05/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [23:00:00 05/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [23:00:00 05/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 05/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [23:00:00 05/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [23:00:00 05/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 05/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [23:00:00 05/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 05/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 05/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 05/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [23:00:00 05/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [23:00:00 05/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [23:00:00 05/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [23:00:00 05/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [23:00:00 05/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 05/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 05/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 6.75 vu: ml t0: [23:00:00 05/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 05/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 30 vu: ml t0: [23:00:00 05/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 35 vu: ml t0: [23:00:00 05/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [23:00:00 05/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 05/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 05/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 05/11/2011] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 35 cv: 35 ap: none t0: [23:00:00 05/11/2011] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 35 cv: 1420 ap: none t0: [23:00:00 05/11/2011] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 35 cv: 1935 ap: none t0: [23:00:00 05/11/2011] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: RN cv: 375 ap: none
t0: [00:00:00 06/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 416 vo: 0 st: D/C'd
t0: [00:00:00 06/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 30.5556 u1: ml/cmH st: NotStopd t0: [00:00:00 06/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 06/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 20 t0: [00:00:00 06/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 06/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 06/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 06/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 06/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 06/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 35.9 u1: Deg. C st: NotStopd t0: [00:00:00 06/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [00:00:00 06/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [00:00:00 06/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:00:00 06/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.3 u1: L/min st: NotStopd t0: [00:00:00 06/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 06/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [00:00:00 06/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [00:00:00 06/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 1 u1: BPM st: NotStopd t0: [00:00:00 06/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [00:00:00 06/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:00:00 06/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [00:00:00 06/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [00:00:00 06/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 06/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [00:00:00 06/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [00:00:00 06/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 06/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [00:00:00 06/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 05/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 05/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [22:00:00 05/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 05/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 05/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 6 mm st: NotStopd t0: [00:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9783 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 05/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [22:00:00 05/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 05/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 05/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [00:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9783 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 05/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 05/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 05/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 05/11/2011] tf: [19:03:00 12/11/2011] dt: 9903 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [23:00:00 05/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [00:00:00 06/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 06/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [00:00:00 06/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [00:00:00 06/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [00:00:00 06/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 06/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 06/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [00:00:00 06/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 06/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [00:00:00 06/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 06/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 06/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 06/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 06/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 06/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 06/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 06/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 06/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [00:00:00 06/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [00:00:00 06/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 6 mm st: NotStopd t0: [00:00:00 06/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 06/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 06/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 06/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [00:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9783 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [00:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9783 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [00:00:00 06/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 06/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [00:00:00 06/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9783 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 06/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 06/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [00:00:00 06/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 06/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 06/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 06/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [00:00:00 06/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 06/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9783 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 06/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 06/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 06/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 06/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 06/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [00:00:00 06/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 06/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 06/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 06/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 06/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [00:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9783 id: Pain Management el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 06/11/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [00:00:00 06/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [00:00:00 06/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 06/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 06/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [00:00:00 06/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 25 st: NotStopd t0: [00:00:00 06/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 25 st: NotStopd t0: [00:00:00 06/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 06/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [00:00:00 06/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:00:00 06/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [00:00:00 06/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 06/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 06/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 06/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 06/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 06/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 06/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 06/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [00:00:00 06/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 06/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 06/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 06/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:00:00 06/11/2011] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [00:00:00 06/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 06/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 06/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 06/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 06/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 06/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 06/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 06/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 06/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [00:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9783 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 06/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 06/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [00:00:00 06/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [00:00:00 06/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 06/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [00:00:00 06/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 06/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 06/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 141 rs: Manual st: NotStopd t0: [00:00:00 06/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9783 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [00:00:00 06/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [00:00:00 06/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 155 vu: ml t0: [00:00:00 06/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 06/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 6.75 vu: ml t0: [00:00:00 06/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 06/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 30 vu: ml st: Stopped t0: [00:00:00 06/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 25 vu: ml t0: [00:00:00 06/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [00:00:00 06/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 06/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 06/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 06/11/2011] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: RN cv: 0 ap: none
t0: [01:00:00 06/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 06/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 06/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 06/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [01:00:00 06/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [01:00:00 06/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 06/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [01:00:00 06/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 06/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [01:00:00 06/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [01:00:00 06/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:00:00 06/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [01:00:00 06/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:00:00 06/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [01:00:00 06/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 06/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 06/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [01:00:00 06/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 06/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 06/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 3.375 vu: ml t0: [01:00:00 06/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 06/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml t0: [01:00:00 06/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [01:00:00 06/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 06/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.015 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 06/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [01:11:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9712 id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.6 rs: Final st: NotStopd t0: [01:11:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9712 id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.15 rs: Final st: NotStopd t0: [01:11:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9712 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.6 rs: Final st: NotStopd
t0: [01:46:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9677 id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.35 rs: Final st: NotStopd t0: [01:46:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9677 id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -3 rs: Final st: NotStopd t0: [01:46:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9677 id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [01:46:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9677 id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [01:46:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9677 id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 75 u1: mmHg rs: Final st: NotStopd t0: [01:46:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9677 id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.35 rs: Final st: NotStopd t0: [02:00:00 06/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [02:00:00 06/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 06/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 06/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 06/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 06/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 06/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [02:00:00 06/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [02:00:00 06/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 6 mm st: NotStopd t0: [02:00:00 06/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 06/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 06/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [02:00:00 06/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 06/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 06/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 06/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 06/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [02:00:00 06/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg st: NotStopd t0: [02:00:00 06/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [02:00:00 06/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 06/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 06/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [02:00:00 06/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [02:00:00 06/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [02:00:00 06/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [02:00:00 06/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [02:00:00 06/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 06/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 06/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 06/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 06/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 13 u1: BPM st: NotStopd t0: [02:00:00 06/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 06/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 06/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 06/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9663 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [02:00:00 06/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [02:00:00 06/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [02:00:00 06/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 06/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 120 vu: ml t0: [02:00:00 06/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 06/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 5.0625 vu: ml t0: [02:00:00 06/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 06/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml t0: [02:00:00 06/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [02:00:00 06/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 06/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.015 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 06/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [02:00:00 06/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [02:00:00 06/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.55 u1: torr st: NotStopd t0: [02:00:00 06/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [02:00:00 06/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [02:00:00 06/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [02:00:00 06/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [02:00:00 06/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [02:00:00 06/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [02:00:00 06/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [02:00:00 06/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 20 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 20 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 29.8 u1: % rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 61 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.3 u1: /mic l rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 20 rs: Final st: NotStopd
t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: PT el: 0 cu: MICU-A cg: 1663 v1: 11.9 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 37.4 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 11.9 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 37.4 rs: Final st: NotStopd
t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: BUN el: 0 cu: MICU-A cg: 1663 v1: 55 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 98 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 123 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.8 u1: mEq/L rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 130 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 33 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 269 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: Amylase Enzymes el: 0 cu: MICU-A cg: 1663 v1: 41 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 55 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 98 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 123 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 310 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.8 u1: mEq/L rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.2 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 130 rs: Final st: NotStopd t0: [01:35:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9688 id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd
t0: [03:00:00 06/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 06/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 06/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 06/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [03:00:00 06/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [03:00:00 06/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 06/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [03:00:00 06/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 06/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [03:00:00 06/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [03:00:00 06/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:00:00 06/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [03:00:00 06/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [03:00:00 06/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [03:00:00 06/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 06/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 06/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [03:00:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 06/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 06/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Changed st: NotStopd t0: [04:00:00 06/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [04:00:00 06/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [04:00:00 06/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [04:00:00 06/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 06/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9543 id: BATH el: 0 cu: MICU-A cg: RN v1: Done t0: [04:00:00 06/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [04:00:00 06/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 06/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [04:00:00 06/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 06/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 06/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 06/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 06/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 06/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 06/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 06/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 06/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [04:00:00 06/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:00:00 06/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [04:00:00 06/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 06/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 6 mm st: NotStopd t0: [04:00:00 06/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9543 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 06/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 06/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 06/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9543 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [04:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9543 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [04:00:00 06/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 06/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 06/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [04:00:00 06/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9543 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 06/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 06/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [04:00:00 06/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 06/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 06/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 06/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [04:00:00 06/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 06/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9543 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 06/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 06/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 06/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 06/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 06/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 06/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 06/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [04:00:00 06/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 06/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9543 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 06/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 06/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 06/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 06/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9543 id: Pain Management el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 06/11/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [04:00:00 06/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [04:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9543 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 06/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 06/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 06/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 06/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:00:00 06/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 25 st: NotStopd t0: [04:00:00 06/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 25 st: NotStopd t0: [04:00:00 06/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 06/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [04:00:00 06/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [04:00:00 06/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [04:00:00 06/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 06/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 06/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 06/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 06/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 06/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 06/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 06/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [04:00:00 06/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 06/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 06/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 06/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9543 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Localizes st: NotStopd t0: [04:00:00 06/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 06/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 06/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 06/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 06/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 06/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 06/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [04:00:00 06/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 06/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [04:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9543 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [04:00:00 06/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 06/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 06/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [04:00:00 06/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [04:00:00 06/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [04:00:00 06/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 06/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 06/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [04:00:00 06/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 06/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9543 id: WarmingDevice/Status el: 0 cu: MICU-A cg: RN v1: Blanket v2: On st: NotStopd t0: [04:00:00 06/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 06/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [04:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9543 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [04:00:00 06/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [03:00:00 06/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 06/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 5.0625 vu: ml t0: [03:00:00 06/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 06/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [04:00:00 06/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 50 vu: ml t0: [04:00:00 06/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 06/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 5.0625 vu: ml t0: [04:00:00 06/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 06/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml nb: 1 t0: [04:00:00 06/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [04:00:00 06/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml t0: [04:00:00 06/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [03:00:00 06/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 06/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.015 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 06/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 06/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 06/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.015 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 06/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [21:00:00 05/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [04:00:00 06/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml
t0: [23:00:00 05/11/2011] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 23.75 cv: 23.75 ap: none t0: [23:00:00 05/11/2011] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 28.75 cv: 2815.38 ap: none t0: [23:00:00 05/11/2011] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 58.75 cv: 3740.38 ap: none t0: [23:00:00 05/11/2011] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 23.75 cv: 1805.38 ap: none t0: [23:00:00 05/11/2011] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 23.75 cv: 14624.4 ap: carryForward
t0: [04:00:00 06/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 23.913 u1: ml/cmH st: NotStopd t0: [04:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9543 id: RSBI Not Completed el: 0 cu: MICU-A cg: RRT v1: No Spon Resp st: NotStopd t0: [04:00:00 06/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 06/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 20 t0: [04:00:00 06/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.55 u1: torr st: NotStopd t0: [04:00:00 06/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 06/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 06/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.8 st: NotStopd t0: [04:00:00 06/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 06/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 06/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 35.8 u1: Deg. C st: NotStopd t0: [04:00:00 06/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [04:00:00 06/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [04:00:00 06/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [04:00:00 06/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.2 u1: L/min st: NotStopd t0: [04:00:00 06/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 06/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [04:00:00 06/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [04:00:00 06/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [04:00:00 06/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 06/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:00:00 06/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:00:00 06/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 06/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 575 u1: ml/B st: NotStopd t0: [04:00:00 06/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [04:00:00 06/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 06/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [04:00:00 06/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 06/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 06/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 06/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 06/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [05:00:00 06/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [05:00:00 06/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 06/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [05:00:00 06/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 06/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [05:00:00 06/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [05:00:00 06/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [05:00:00 06/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [05:00:00 06/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [05:00:00 06/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [05:00:00 06/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 06/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 06/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 06/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 06/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 06/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 5.0625 vu: ml t0: [05:00:00 06/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 06/11/2011] tf: [08:00:00 06/11/2011] dt: 180 id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 10 vu: ml t0: [05:00:00 06/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 35 vu: ml t0: [05:00:00 06/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [05:00:00 06/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 06/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.015 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 06/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [06:00:00 06/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [06:00:00 06/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 06/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 06/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 06/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 06/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 06/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [06:00:00 06/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [06:00:00 06/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 6 mm st: NotStopd t0: [06:00:00 06/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 06/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 06/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [06:00:00 06/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 06/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 06/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9423 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 06/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 06/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [06:00:00 06/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [06:00:00 06/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [06:00:00 06/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 06/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 06/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [06:00:00 06/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [06:00:00 06/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [06:00:00 06/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [06:00:00 06/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [06:00:00 06/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 06/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9423 id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [06:00:00 06/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 06/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 06/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 06/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 06/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 06/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 06/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 06/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [06:00:00 06/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [06:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9423 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [06:00:00 06/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [06:00:00 06/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 06/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 06/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 140 rs: Manual st: NotStopd
t0: [06:00:00 06/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 06/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 5.0625 vu: ml t0: [06:00:00 06/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 06/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 10 vu: ml t0: [06:00:00 06/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [06:00:00 06/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [06:00:00 06/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 06/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.015 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 06/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [07:00:00 06/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 06/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 06/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 06/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [07:00:00 06/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [07:00:00 06/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 06/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [07:00:00 06/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 06/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [07:00:00 06/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [07:00:00 06/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [07:00:00 06/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [07:00:00 06/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [07:00:00 06/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [07:00:00 06/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [07:00:00 06/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 06/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 06/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 06/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 06/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 06/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 06/11/2011] id: Neg Insp Force(>-25) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 06/11/2011] id: O2 Delivery Device el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 06/11/2011] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [08:00:00 06/11/2011] id: Vital Cap (>1.0)L el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [08:00:00 06/11/2011] id: RSBI (<100) el: 0 cu: MICU-A cg: RRT v1: 40 u1: units st: NotStopd t0: [08:00:00 06/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 06/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 18 t0: [08:00:00 06/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.55 u1: torr st: NotStopd t0: [08:00:00 06/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 06/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [08:00:00 06/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 06/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 06/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 06/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [08:00:00 06/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [08:00:00 06/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:00:00 06/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12.4 u1: L/min st: NotStopd t0: [08:00:00 06/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 06/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [08:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9303 id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [08:00:00 06/11/2011] id: RSBI (<200) el: 0 cu: MICU-A cg: RRT v1: 40 u1: units st: NotStopd t0: [08:00:00 06/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 06/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [08:00:00 06/11/2011] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 06/11/2011] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: L st: NotStopd t0: [08:00:00 06/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: White v2: Thick st: NotStopd t0: [08:00:00 06/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9303 id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [08:00:00 06/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 06/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 06/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Reinforced st: NotStopd t0: [08:00:00 06/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [08:00:00 06/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [08:00:00 06/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [08:00:00 06/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 06/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9303 id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 06/11/2011] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 06/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 06/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [08:00:00 06/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [08:00:00 06/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 06/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 06/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 06/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 06/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 06/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9303 id: Readmit <48 hrs el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 06/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 06/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 06/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [08:00:00 06/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [08:00:00 06/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [08:00:00 06/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 06/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 6 mm st: NotStopd t0: [08:00:00 06/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9303 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9303 id: Family Communication el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 06/11/2011] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [08:00:00 06/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 06/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9303 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [08:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9303 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [08:00:00 06/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [08:00:00 06/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 06/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [08:00:00 06/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9303 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 06/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 06/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [08:00:00 06/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 06/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 06/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 06/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [08:00:00 06/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 06/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9303 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 06/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 06/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 06/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 06/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 06/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 06/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 06/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 06/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 06/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9303 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 06/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 06/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [08:00:00 06/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 06/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 163 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [08:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9303 id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [08:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9303 id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 06/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [08:00:00 06/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [08:00:00 06/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 06/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9303 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [08:00:00 06/11/2011] id: PresSoreStage/Heal#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: No st: NotStopd t0: [08:00:00 06/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Serosanguinous v2: Scant st: NotStopd t0: [08:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9303 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9303 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 06/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 25 st: NotStopd t0: [08:00:00 06/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 25 st: NotStopd t0: [08:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9303 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [08:00:00 06/11/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [08:00:00 06/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 06/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [08:00:00 06/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 06/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [08:00:00 06/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 06/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 06/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [08:00:00 06/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 06/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 06/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 06/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 06/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [08:00:00 06/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 06/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 06/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 06/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [08:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9303 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 06/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 06/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 06/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 06/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 06/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Jaundiced st: NotStopd t0: [08:00:00 06/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 06/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Cool v2: Dry st: NotStopd t0: [08:00:00 06/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 06/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9303 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [08:00:00 06/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 06/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [08:00:00 06/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [08:00:00 06/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [08:00:00 06/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [08:00:00 06/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 06/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [08:00:00 06/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 06/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9303 id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 06/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [08:00:00 06/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 06/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 06/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 06/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 06/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 06/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 06/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9303 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [08:00:00 06/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [08:00:00 06/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 35 vu: ml t0: [08:00:00 06/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 06/11/2011] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 60 vu: ml t0: [08:00:00 06/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 11.8125 vu: ml t0: [08:00:00 06/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 06/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [08:00:00 06/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml
t0: [08:00:00 06/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 06/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [08:00:00 06/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [09:00:00 06/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [09:00:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd
t0: [09:00:00 06/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 06/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 06/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 06/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [09:00:00 06/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [09:00:00 06/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 06/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 112 u1: BPM st: NotStopd t0: [09:00:00 06/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 06/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [09:00:00 06/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [09:00:00 06/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:00:00 06/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [09:00:00 06/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 06/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [09:00:00 06/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 06/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 06/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [09:00:00 06/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 06/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [10:00:00 06/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 06/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 06/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 06/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 06/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 06/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [10:00:00 06/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:00:00 06/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 06/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 114 u1: BPM st: NotStopd t0: [10:00:00 06/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 06/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 162 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [10:00:00 06/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [10:00:00 06/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 06/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:00:00 06/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [10:00:00 06/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 06/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [10:00:00 06/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 06/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 06/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 06/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 06/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 06/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 06/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 06/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 06/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 06/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 06/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 300 vu: ml t0: [10:00:00 06/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [10:00:00 06/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 06/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml t0: [10:00:00 06/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 06/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml t0: [10:00:00 06/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml
t0: [09:00:00 06/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 06/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 06/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 06/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
tf: [14:00:00 12/11/2011] pt: IV Piggyback rt: IV fr: Q24H fs: 11 dn: 1 m1: Pantoprazole Sodium v1: 40 u1: mg m2: NS v2: 100 u2: ml tf: [14:00:00 12/11/2011] pt: Unit Dose rt: OU fr: QID:PRN m1: Artificial Tear Ointment v1: 1 u1: Appl
t0: [12:00:00 06/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 134 rs: Manual st: NotStopd
t0: [08:00:00 06/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [11:00:00 06/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 06/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 06/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 06/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9123 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 06/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [11:00:00 06/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 112 u1: BPM st: NotStopd t0: [11:00:00 06/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 06/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [11:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9123 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 06/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 06/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 161 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [11:00:00 06/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg st: NotStopd t0: [12:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9063 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [11:00:00 06/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 06/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [11:00:00 06/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [11:00:00 06/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 06/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [11:00:00 06/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 06/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 06/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [11:00:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [11:00:00 06/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [11:00:00 06/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [12:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9063 id: Behavior el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 06/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 06/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Changed st: NotStopd t0: [12:00:00 06/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [12:00:00 06/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [12:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9063 id: Pain Level el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [12:00:00 06/11/2011] id: Pain Level el: 0 cu: MICU-A cg: RN v1: Unable to score st: NotStopd t0: [12:00:00 06/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 06/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9063 id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [12:00:00 06/11/2011] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 06/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 06/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [12:00:00 06/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 06/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 06/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 06/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 06/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 06/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 06/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 06/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 06/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [12:00:00 06/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [12:00:00 06/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [12:00:00 06/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 06/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9063 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9063 id: Family Communication el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 06/11/2011] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 06/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 06/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9063 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [12:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9063 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [12:00:00 06/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [12:00:00 06/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 106 u1: BPM st: NotStopd t0: [12:00:00 06/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9063 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 06/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 06/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [12:00:00 06/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 06/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 06/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 06/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [12:00:00 06/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 06/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [12:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9063 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 06/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 06/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 06/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 06/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 06/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 06/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [12:00:00 06/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9063 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 06/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 06/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [12:00:00 06/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [12:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9063 id: Pain Level (Rest) el: 0 cu: MICU-A cg: RN v1: Unable to score st: NotStopd t0: [12:00:00 06/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [12:00:00 06/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 06/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 06/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [12:00:00 06/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 25 st: NotStopd t0: [12:00:00 06/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 25 st: NotStopd t0: [12:00:00 06/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [12:00:00 06/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 06/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [12:00:00 06/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 06/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 06/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [12:00:00 06/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 06/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 06/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [12:00:00 06/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 06/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 06/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 06/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 06/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 06/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [12:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9063 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [12:00:00 06/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 06/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 06/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 06/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 06/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 06/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 06/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 06/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Mucoid st: NotStopd t0: [12:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9063 id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [12:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9063 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [12:00:00 06/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 06/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 06/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [12:00:00 06/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [12:00:00 06/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 06/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [12:00:00 06/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 06/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 06/11/2011] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 06/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [12:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9063 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [12:00:00 06/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [08:00:00 06/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 20 vu: ml st: Stopped t0: [10:00:00 06/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vu: ml t0: [11:00:00 06/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 06/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml t0: [11:00:00 06/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 06/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [11:00:00 06/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 3 vu: ml t0: [12:00:00 06/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 06/11/2011] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 60 vu: ml t0: [12:00:00 06/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml t0: [12:00:00 06/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 06/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [12:00:00 06/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml
t0: [11:00:00 06/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 06/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 06/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 06/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 06/11/2011] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 120 ap: none t0: [23:00:00 06/11/2011] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 70 ap: none
t0: [12:00:00 06/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 250 vu: ml
t0: [12:20:00 06/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:20:00 06/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 18 t0: [12:20:00 06/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.55 u1: torr st: NotStopd t0: [12:20:00 06/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:20:00 06/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [12:20:00 06/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [12:20:00 06/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:20:00 06/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [12:20:00 06/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [12:20:00 06/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [12:20:00 06/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [12:20:00 06/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.8 u1: L/min st: NotStopd t0: [12:20:00 06/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:20:00 06/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [12:20:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9043 id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [12:20:00 06/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [12:20:00 06/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:20:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [12:20:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9043 id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 610 u1: ml/B st: NotStopd t0: [12:20:00 06/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [12:20:00 06/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [13:00:00 06/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 06/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [13:00:00 06/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 06/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 06/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [13:00:00 06/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [13:00:00 06/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 06/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [13:00:00 06/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 06/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [13:00:00 06/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [13:00:00 06/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [13:00:00 06/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [13:00:00 06/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:00:00 06/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [13:00:00 06/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 06/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 06/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [13:00:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 06/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 06/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 06/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml t0: [13:00:00 06/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 06/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml
t0: [13:00:00 06/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 06/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9063 id: Education Barrier el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9063 id: Education Handout el: 0 cu: MICU-A cg: RN v1: Not Given st: NotStopd t0: [12:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9063 id: Education Learner el: 0 cu: MICU-A cg: RN v1: Sig Othr/Family st: NotStopd t0: [12:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9063 id: Education Method el: 0 cu: MICU-A cg: RN v1: Explanation st: NotStopd t0: [12:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9063 id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9063 id: Education Response el: 0 cu: MICU-A cg: RN v1: Understands st: NotStopd t0: [12:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9063 id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [13:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9003 id: Education Response el: 0 cu: MICU-A cg: RN v1: ICU Environment st: NotStopd t0: [13:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9003 id: Education Barrier el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9003 id: Education Handout el: 0 cu: MICU-A cg: RN v1: Not Given st: NotStopd t0: [13:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9003 id: Education Learner el: 0 cu: MICU-A cg: RN v1: Sig Othr/Family st: NotStopd t0: [13:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9003 id: Education Method el: 0 cu: MICU-A cg: RN v1: Explanation st: NotStopd t0: [13:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9003 id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9003 id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: Reinforced st: NotStopd t0: [13:00:00 06/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Invasive Lines st: NotStopd t0: [13:00:00 06/11/2011] id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: Medications st: NotStopd t0: [13:00:00 06/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [13:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9003 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd
t0: [14:40:00 06/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.55 u1: torr st: NotStopd t0: [14:40:00 06/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 5.3 u1: L/min st: NotStopd t0: [14:40:00 06/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [14:40:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8903 id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [14:40:00 06/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [14:40:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 95 u1: % st: NotStopd t0: [14:40:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8903 id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [14:40:00 06/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd
t0: [13:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9003 id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Conferenc st: NotStopd t0: [13:00:00 06/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 45 degrees st: NotStopd t0: [13:00:00 06/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 06/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [13:00:00 06/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 06/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [13:00:00 06/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [13:00:00 06/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [13:00:00 06/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [14:00:00 06/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 06/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 06/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 06/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [14:00:00 06/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [14:00:00 06/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 06/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [14:00:00 06/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 06/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [14:00:00 06/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg st: NotStopd t0: [14:00:00 06/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [14:00:00 06/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [14:00:00 06/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 06/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [14:00:00 06/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 06/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 06/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:00:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 06/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 06/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 06/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 06/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 06/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [15:00:00 06/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [15:00:00 06/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 06/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [15:00:00 06/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 06/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [15:00:00 06/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [15:00:00 06/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [15:00:00 06/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [15:00:00 06/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [15:00:00 06/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [15:00:00 06/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 06/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 9 u1: BPM st: NotStopd t0: [15:00:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [15:00:00 06/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 06/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 06/11/2011] tf: [10:00:00 07/11/2011] dt: 1140 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml t0: [14:00:00 06/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 06/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml t0: [15:00:00 06/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 06/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 6.75 vu: ml t0: [15:00:00 06/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 06/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml t0: [15:00:00 06/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml
t0: [14:00:00 06/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8943 id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 06/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 06/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 06/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 06/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 9063 id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: Repositioned st: NotStopd t0: [14:00:00 06/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [14:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8943 id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [16:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8823 id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8943 id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [14:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8943 id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 06/11/2011] id: CVP el: 0 cu: MICU-A cg: RN u1: mmHg st: NotStopd t0: [16:00:00 06/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 06/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [16:00:00 06/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [16:00:00 06/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [16:00:00 06/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 06/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 06/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 06/11/2011] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 06/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 06/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [16:00:00 06/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 06/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 06/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 06/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 06/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 06/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 06/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 06/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:00:00 06/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:00:00 06/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [16:00:00 06/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 06/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8823 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8823 id: Family Communication el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 06/11/2011] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 06/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 06/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8823 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [16:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8823 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [16:00:00 06/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [16:00:00 06/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 06/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [16:00:00 06/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8823 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 06/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 06/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [16:00:00 06/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 06/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 06/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 06/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [16:00:00 06/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 06/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [16:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8823 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 06/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 06/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 06/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 06/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 06/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 06/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 06/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 06/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [16:00:00 06/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [16:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8823 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 06/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 06/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [16:00:00 06/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 06/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [16:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8823 id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [16:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8823 id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 06/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [16:00:00 06/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [16:00:00 06/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 06/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 06/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:00:00 06/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 25 st: NotStopd t0: [16:00:00 06/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 25 st: NotStopd t0: [16:00:00 06/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [16:00:00 06/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:00:00 06/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [16:00:00 06/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:00:00 06/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 06/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [16:00:00 06/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 06/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 06/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [16:00:00 06/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 06/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 06/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 06/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 06/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 06/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [16:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8823 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [16:00:00 06/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 06/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 06/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 06/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 06/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [16:00:00 06/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 06/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 06/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Mucoid st: NotStopd t0: [16:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8823 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [16:00:00 06/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 06/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 06/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [16:00:00 06/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [16:00:00 06/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [16:00:00 06/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [16:00:00 06/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 06/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [16:00:00 06/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 06/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8823 id: Behavior el: 0 cu: MICU-A cg: RN v1: Sleeping st: NotStopd t0: [16:00:00 06/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [16:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8823 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [16:00:00 06/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [16:00:00 06/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 300 vu: ml t0: [16:00:00 06/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 06/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 6.75 vu: ml t0: [16:00:00 06/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 06/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml
t0: [16:00:00 06/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 06/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 06/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [15:53:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8830 id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.3 rs: Final st: NotStopd t0: [15:53:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8830 id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -3 rs: Final st: NotStopd t0: [15:53:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8830 id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 23 rs: Final st: NotStopd t0: [15:53:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8830 id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [15:53:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8830 id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 112 u1: mmHg rs: Final st: NotStopd t0: [15:53:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8830 id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.3 rs: Final st: NotStopd
t0: [15:53:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8830 id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.6 rs: Final st: NotStopd t0: [15:53:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8830 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.6 rs: Final st: NotStopd
t0: [17:30:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8733 id: ETT Position Change el: 0 cu: MICU-A cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [17:30:00 06/11/2011] id: ETT Position Change el: 0 cu: MICU-A cg: RRT v1: Done st: NotStopd t0: [17:30:00 06/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 18 t0: [17:30:00 06/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.55 u1: torr st: NotStopd t0: [17:30:00 06/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [17:30:00 06/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [17:30:00 06/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 6.0 mm st: NotStopd t0: [17:30:00 06/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [17:30:00 06/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [17:30:00 06/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [17:30:00 06/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [17:30:00 06/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.4 u1: L/min st: NotStopd t0: [17:30:00 06/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:30:00 06/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [17:30:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8733 id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [17:30:00 06/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 8 u1: BPM st: NotStopd t0: [17:30:00 06/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:30:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [17:30:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8733 id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 830 u1: ml/B st: NotStopd t0: [17:30:00 06/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [17:30:00 06/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
io: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ra: 75 ru: ml/hr
tf: [14:00:00 12/11/2011] pt: IV Piggyback rt: IV fr: Q8H fs: 2, 10, 18 dn: 3 m1: Hydrocortisone Na Succ. v1: 12.5 u1: mg m2: Syringe v2: 1 u2: SYR
id: D5NS el: 1 cu: MICU-A cg: RN io: D5NS IV Infusions du: ml rt: Intravenous Push
t0: [18:00:00 06/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 124 rs: Manual st: NotStopd
t0: [17:00:00 06/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 06/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 06/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 06/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [17:00:00 06/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [17:00:00 06/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 06/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [17:00:00 06/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 06/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [17:00:00 06/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [17:00:00 06/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [17:00:00 06/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [17:00:00 06/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 06/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [17:00:00 06/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 06/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 06/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 7 u1: BPM st: NotStopd t0: [17:00:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 06/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 06/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 06/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 06/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 06/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [18:00:00 06/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [18:00:00 06/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 06/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [18:00:00 06/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 06/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [18:00:00 06/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [18:00:00 06/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 06/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [18:00:00 06/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:00:00 06/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 06/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 06/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 06/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 06/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 06/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 06/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 06/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [17:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8763 id: INV Line#3 D/C Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [17:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8763 id: INV Line#4 D/C Date el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [18:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8703 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [17:00:00 06/11/2011] id: INV Line#4 D/C Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [17:00:00 06/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [17:00:00 06/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 22 st: NotStopd t0: [17:00:00 06/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 25 st: NotStopd t0: [17:00:00 06/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 25 st: NotStopd t0: [18:00:00 06/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [18:00:00 06/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 06/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 06/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 06/11/2011] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [18:00:00 06/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 06/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [18:00:00 06/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [18:00:00 06/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [18:00:00 06/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 06/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [18:00:00 06/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [18:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8703 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [18:00:00 06/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [18:00:00 06/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 06/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 06/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 06/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [18:00:00 06/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 06/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 06/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [18:00:00 06/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [18:00:00 06/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 06/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 06/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 06/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 06/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 06/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 06/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [18:00:00 06/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd
t0: [16:00:00 06/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 55 vu: ml t0: [17:00:00 06/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [18:00:00 06/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 06/11/2011] tf: [20:00:00 07/11/2011] dt: 1560 id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 75 vu: ml t0: [18:00:00 06/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 13.5 vu: ml t0: [18:00:00 06/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 06/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 170 vu: ml t0: [18:00:00 06/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [18:00:00 06/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 8 vu: ml
t0: [23:00:00 06/11/2011] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU-A cg: RN cv: 290 ap: none
t0: [18:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8703 id: Significant Events el: 0 cu: MICU-A cg: RN st: NotStopd t0: [19:00:00 06/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 06/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 06/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 06/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [19:00:00 06/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [19:00:00 06/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 06/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [19:00:00 06/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 06/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [19:00:00 06/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [19:00:00 06/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [19:00:00 06/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [19:00:00 06/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [19:00:00 06/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [19:00:00 06/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 06/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 06/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [19:00:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 06/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 06/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 06/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 06/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 06/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 06/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [20:00:00 06/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [20:00:00 06/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [20:00:00 06/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 06/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 06/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [20:00:00 06/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 06/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [20:00:00 06/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 06/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 06/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 06/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8583 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/O2 Issues st: NotStopd t0: [20:00:00 06/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 06/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 06/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 06/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 06/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [20:00:00 06/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [20:00:00 06/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [20:00:00 06/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 06/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 6 mm st: NotStopd t0: [20:00:00 06/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 06/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Invasive Lines st: NotStopd t0: [20:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8583 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 06/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 06/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 06/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8583 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [20:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8583 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [20:00:00 06/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [20:00:00 06/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 06/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [20:00:00 06/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8583 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 06/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 06/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [20:00:00 06/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 06/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 06/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 06/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [20:00:00 06/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 06/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8583 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 06/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 06/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 06/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 06/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 06/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 06/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 06/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 06/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 06/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8583 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 06/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 06/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 06/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 06/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [20:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8583 id: Pain Management el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 06/11/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [20:00:00 06/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [20:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8583 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 06/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 06/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 06/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 06/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [20:00:00 06/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [20:00:00 06/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [20:00:00 06/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 06/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [20:00:00 06/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:00:00 06/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [20:00:00 06/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 06/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 06/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [20:00:00 06/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 06/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 06/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 06/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 06/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 06/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 06/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 06/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 06/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [20:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8583 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [20:00:00 06/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 06/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 06/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 06/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 06/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [20:00:00 06/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8583 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [20:00:00 06/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 06/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 06/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [20:00:00 06/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [20:00:00 06/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [20:00:00 06/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 06/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 06/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [20:00:00 06/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 06/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 06/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 06/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [20:00:00 06/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 06/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 06/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 06/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 06/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 06/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 06/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8583 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [20:00:00 06/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [19:00:00 06/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 06/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 75 vu: ml t0: [19:00:00 06/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 6.75 vu: ml t0: [19:00:00 06/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 06/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml t0: [20:00:00 06/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 300 vu: ml t0: [20:00:00 06/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml st: Stopped t0: [20:00:00 06/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 75 vu: ml t0: [20:00:00 06/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 10.125 vu: ml t0: [20:00:00 06/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 06/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml t0: [20:00:00 06/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml
t0: [20:00:00 06/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 06/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 06/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 06/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 22.9167 u1: ml/cmH st: NotStopd t0: [20:00:00 06/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [20:00:00 06/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 18 t0: [20:00:00 06/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.55 u1: torr st: NotStopd t0: [20:00:00 06/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 06/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 06/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.2 st: NotStopd t0: [20:00:00 06/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 6.0 mm st: NotStopd t0: [20:00:00 06/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [20:00:00 06/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 06/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [20:00:00 06/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [20:00:00 06/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 06/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.1 u1: L/min st: NotStopd t0: [20:00:00 06/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 06/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:00:00 06/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [20:00:00 06/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [20:00:00 06/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 06/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [20:00:00 06/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [20:00:00 06/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 06/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [20:00:00 06/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [20:00:00 06/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 06/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [20:00:00 06/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 06/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 06/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 06/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 06/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [21:00:00 06/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [21:00:00 06/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 06/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [21:00:00 06/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 06/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [21:00:00 06/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [21:00:00 06/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [21:00:00 06/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [21:00:00 06/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:00:00 06/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [21:00:00 06/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 06/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 06/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [21:00:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 06/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 06/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [22:00:00 06/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 06/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 06/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 06/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 06/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 06/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [22:00:00 06/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [22:00:00 06/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 6 mm st: NotStopd t0: [22:00:00 06/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 06/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Invasive Lines st: NotStopd t0: [22:00:00 06/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [22:00:00 06/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 06/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [22:00:00 06/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [22:00:00 06/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 06/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:00:00 06/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [22:00:00 06/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [22:00:00 06/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:00:00 06/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [22:00:00 06/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 06/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 06/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 06/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 06/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [22:00:00 06/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 06/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 06/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 06/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 06/11/2011] tf: [19:03:00 12/11/2011] dt: 8463 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [22:00:00 06/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 06/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 75 vu: ml t0: [21:00:00 06/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.875 vu: ml t0: [21:00:00 06/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 06/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 35 vu: ml t0: [21:00:00 06/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml t0: [22:00:00 06/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [22:00:00 06/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 75 vu: ml t0: [22:00:00 06/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.875 vu: ml t0: [22:00:00 06/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 06/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml
t0: [21:00:00 06/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 06/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 06/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 06/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 06/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 06/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 06/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 06/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 06/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 06/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [23:00:00 06/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [23:00:00 06/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 06/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 06/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [23:00:00 06/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 06/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 06/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 06/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 06/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [23:00:00 06/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [23:00:00 06/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [23:00:00 06/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 06/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [23:00:00 06/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [23:00:00 06/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 06/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [23:00:00 06/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 06/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 06/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 06/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [23:00:00 06/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [23:00:00 06/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [23:00:00 06/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [23:00:00 06/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 06/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 75 vu: ml t0: [23:00:00 06/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 13.5 vu: ml t0: [23:00:00 06/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 06/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [23:00:00 06/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml
t0: [23:00:00 06/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 06/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 06/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 06/11/2011] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 80 cv: 80 ap: none t0: [23:00:00 06/11/2011] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 22.5 cv: 22.5 ap: none t0: [23:00:00 06/11/2011] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 102.5 cv: 2461.38 ap: none t0: [23:00:00 06/11/2011] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 102.5 cv: 2651.38 ap: none t0: [23:00:00 06/11/2011] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 80 cv: 1135 ap: none t0: [23:00:00 06/11/2011] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 22.5 cv: 1226.38 ap: none t0: [23:00:00 06/11/2011] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 80 cv: 1425 ap: none t0: [23:00:00 06/11/2011] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 22.5 cv: 15850.8 ap: carryForward
t0: [00:00:00 07/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWkr v1: 122 rs: Manual st: NotStopd
t0: [00:00:00 07/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 07/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [00:00:00 07/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [00:00:00 07/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [00:00:00 07/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 07/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 07/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [00:00:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 07/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [00:00:00 07/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 07/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 07/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8343 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/O2 Issues st: NotStopd t0: [00:00:00 07/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 07/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 07/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [00:00:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [00:00:00 07/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [00:00:00 07/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 07/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 6 mm st: NotStopd t0: [00:00:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 07/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Invasive Lines st: NotStopd t0: [00:00:00 07/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 07/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 07/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8343 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [00:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8343 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [00:00:00 07/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [00:00:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [00:00:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8343 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 07/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 07/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [00:00:00 07/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 07/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 07/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 07/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [00:00:00 07/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 07/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8343 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 07/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 07/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 07/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 07/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 07/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 07/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 07/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 07/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 07/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [00:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8343 id: Pain Management el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 07/11/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [00:00:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [00:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8343 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 07/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [00:00:00 07/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [00:00:00 07/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [00:00:00 07/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [00:00:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:00:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [00:00:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 07/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 07/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 07/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 07/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 07/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 07/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 07/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 07/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 07/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [00:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8343 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:00:00 07/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 07/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 07/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 07/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 07/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 07/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [00:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8343 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [00:00:00 07/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 07/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 07/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [00:00:00 07/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [00:00:00 07/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 07/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [00:00:00 07/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 07/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [00:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8343 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [00:00:00 07/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [00:00:00 07/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 75 vu: ml t0: [00:00:00 07/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 13.5 vu: ml t0: [00:00:00 07/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 07/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 65 vu: ml t0: [00:00:00 07/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml
t0: [00:00:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.035 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [00:00:00 07/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 23.913 u1: ml/cmH st: NotStopd t0: [00:00:00 07/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [00:00:00 07/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 18 t0: [00:00:00 07/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.55 u1: torr st: NotStopd t0: [00:00:00 07/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 07/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 07/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 6.0 mm st: NotStopd t0: [00:00:00 07/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [00:00:00 07/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 07/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [00:00:00 07/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [00:00:00 07/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 07/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.3 u1: L/min st: NotStopd t0: [00:00:00 07/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 07/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [00:00:00 07/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [00:00:00 07/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 07/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:00:00 07/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:00:00 07/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 07/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 564 u1: ml/B st: NotStopd t0: [00:00:00 07/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [00:00:00 07/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 07/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [00:00:00 07/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [01:00:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [01:00:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [01:00:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [01:00:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [01:00:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:00:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [01:00:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:00:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [01:00:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 07/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 75 vu: ml t0: [01:00:00 07/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 11.8125 vu: ml t0: [01:00:00 07/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 07/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 70 vu: ml t0: [01:00:00 07/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml
t0: [01:00:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.035 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [02:00:00 07/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [02:00:00 07/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 07/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [02:00:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [02:00:00 07/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 6 mm st: NotStopd t0: [02:00:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 07/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Invasive Lines st: NotStopd t0: [02:00:00 07/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [02:00:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 07/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 07/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8223 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 07/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [02:00:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [02:00:00 07/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [02:00:00 07/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 07/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [02:00:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [02:00:00 07/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [02:00:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [02:00:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [02:00:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [02:00:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 07/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 07/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [02:00:00 07/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 07/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 07/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 07/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8223 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [02:00:00 07/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [02:00:00 07/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [02:00:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 07/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 75 vu: ml t0: [02:00:00 07/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 11.8125 vu: ml t0: [02:00:00 07/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 07/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [02:00:00 07/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml
t0: [02:00:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.035 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [02:22:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8201 id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.36 rs: Final st: NotStopd t0: [02:22:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8201 id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.3 rs: Final st: NotStopd t0: [02:22:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8201 id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -2 rs: Final st: NotStopd t0: [02:22:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8201 id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 24 rs: Final st: NotStopd t0: [02:22:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8201 id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [02:22:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8201 id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 87 u1: mmHg rs: Final st: NotStopd t0: [02:22:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8201 id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.36 rs: Final st: NotStopd t0: [02:22:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8201 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.3 rs: Final st: NotStopd
t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 19.4 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 19.4 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 30 u1: % rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10 u1: gm/dl rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 64 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.29 u1: /mic l rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 19.4 rs: Final st: NotStopd
t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: PT el: 0 cu: MICU-A cg: 1663 v1: 11.9 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 11.9 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 32 rs: Final st: NotStopd
t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: BUN el: 0 cu: MICU-A cg: 1663 v1: 60 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 97 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 96 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.3 u1: mEq/L rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.3 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 129 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Uric Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.2 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 35 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 60 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 287 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Amylase Enzymes el: 0 cu: MICU-A cg: 1663 v1: 41 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 60 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 97 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 96 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 647 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.3 u1: mEq/L rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.3 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 129 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.8 rs: Final st: NotStopd t0: [02:08:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8215 id: Uric Acid (2.7-7.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.2 rs: Final st: NotStopd
t0: [03:00:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [03:00:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [03:00:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [03:00:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [03:00:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [03:00:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:00:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [03:00:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [03:00:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [03:00:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 07/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 75 vu: ml t0: [03:00:00 07/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 11.8125 vu: ml t0: [03:00:00 07/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 07/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml t0: [03:00:00 07/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml
t0: [03:00:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.035 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [03:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8163 id: BUN el: 0 cu: MICU-A cg: 1663 v1: 59 rs: Final st: NotStopd t0: [03:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8163 id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [03:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8163 id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 97 rs: Final st: NotStopd t0: [03:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8163 id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [03:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8163 id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 94 rs: Final st: NotStopd t0: [03:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8163 id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8163 id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.2 u1: mEq/L rs: Final st: NotStopd t0: [03:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8163 id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.8 rs: Final st: NotStopd t0: [03:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8163 id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 130 rs: Final st: NotStopd t0: [03:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8163 id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 59 rs: Final st: NotStopd t0: [03:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8163 id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [03:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8163 id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [03:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8163 id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 97 rs: Final st: NotStopd t0: [03:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8163 id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [03:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8163 id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 94 rs: Final st: NotStopd t0: [03:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8163 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [03:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8163 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.2 u1: mEq/L rs: Final st: NotStopd t0: [03:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8163 id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.8 rs: Final st: NotStopd t0: [03:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8163 id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 130 rs: Final st: NotStopd
t0: [04:00:00 07/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 22 u1: ml/cmH st: NotStopd t0: [04:00:00 07/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [04:00:00 07/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 18 t0: [04:00:00 07/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.55 u1: torr st: NotStopd t0: [04:00:00 07/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 07/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 07/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 6.0 mm st: NotStopd t0: [04:00:00 07/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [04:00:00 07/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.2 u1: Deg. C st: NotStopd t0: [04:00:00 07/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [04:00:00 07/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [04:00:00 07/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [04:00:00 07/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10 u1: L/min st: NotStopd t0: [04:00:00 07/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 07/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [04:00:00 07/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [04:00:00 07/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [04:00:00 07/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 07/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:00:00 07/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:00:00 07/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 90 u1: % st: NotStopd t0: [04:00:00 07/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [04:00:00 07/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [04:00:00 07/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 07/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [04:00:00 07/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 07/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Changed st: NotStopd t0: [04:00:00 07/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [04:00:00 07/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [04:00:00 07/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [04:00:00 07/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 07/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 07/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [04:00:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 07/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [04:00:00 07/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 07/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 07/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8103 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/O2 Issues st: NotStopd t0: [04:00:00 07/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8043 id: ETT Position Change el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 07/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:00:00 07/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 6 mm st: NotStopd t0: [04:00:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 07/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Invasive Lines st: NotStopd t0: [05:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8043 id: Eye Care el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 07/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 07/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8103 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [04:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8103 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [04:00:00 07/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [04:00:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [04:00:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 07/11/2011] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 07/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [04:00:00 07/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 07/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 07/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 07/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [04:00:00 07/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 07/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 07/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 07/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 07/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 07/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 07/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 07/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 07/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [05:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8043 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 07/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [04:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8103 id: Pain Management el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 07/11/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [04:00:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [04:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8103 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 07/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:00:00 07/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [04:00:00 07/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [04:00:00 07/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [04:00:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [04:00:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [04:00:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 07/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 07/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 07/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 07/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 07/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 07/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 07/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 07/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 07/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 07/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 07/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 07/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 07/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 07/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 07/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 07/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [04:00:00 07/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [04:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8103 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [04:00:00 07/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 07/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 07/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [04:00:00 07/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [04:00:00 07/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 07/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [04:00:00 07/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 07/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [04:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8103 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [04:00:00 07/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [05:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8043 id: BATH el: 0 cu: MICU-A cg: RN v1: Done t0: [05:00:00 07/11/2011] id: ETT Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 07/11/2011] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 07/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 07/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 07/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 07/11/2011] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 07/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 07/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [05:00:00 07/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 07/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 07/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [05:00:00 07/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 07/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [04:00:00 07/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [04:00:00 07/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 75 vu: ml t0: [04:00:00 07/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 11.8125 vu: ml t0: [04:00:00 07/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 07/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml t0: [05:00:00 07/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 75 vu: ml t0: [05:00:00 07/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 11.8125 vu: ml t0: [05:00:00 07/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 07/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml t0: [05:00:00 07/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml
t0: [04:00:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.035 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [04:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8103 id: RSBI Not Completed el: 0 cu: MICU-A cg: RRT v1: No Spon Resp st: NotStopd
t0: [05:00:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [05:00:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [05:00:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [05:00:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [05:00:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [05:00:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [05:00:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [05:00:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [05:00:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [05:00:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8043 id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [05:00:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [05:00:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [05:00:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.035 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: BUN el: 0 cu: MICU-A cg: 1663 v1: 57 rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 98 rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 89 rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.9 u1: mEq/L rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 132 rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: Uric Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.4 rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 33 rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 31 rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.3 rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 293 rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: Amylase Enzymes el: 0 cu: MICU-A cg: 1663 v1: 44 rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 57 rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 98 rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.6 rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 89 rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 303 rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.1 rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.9 u1: mEq/L rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 132 rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [04:45:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 8058 id: Uric Acid (2.7-7.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.4 rs: Final st: NotStopd
t0: [06:00:00 07/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWkr v1: 118 rs: Manual st: NotStopd
t0: [06:00:00 07/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [06:00:00 07/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 07/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [06:00:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [06:00:00 07/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 6 mm st: NotStopd t0: [06:00:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 07/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Invasive Lines st: NotStopd t0: [06:00:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [06:00:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [06:00:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [06:00:00 07/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [06:00:00 07/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [06:00:00 07/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [06:00:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [06:00:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [06:00:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [06:00:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 07/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 07/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 07/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 07/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 07/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 07/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7983 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [06:00:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 07/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 75 vu: ml t0: [06:00:00 07/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 11.8125 vu: ml t0: [06:00:00 07/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 07/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [06:00:00 07/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml t0: [06:00:00 07/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml
t0: [06:00:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [07:00:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [07:00:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [07:00:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [07:00:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [07:00:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [07:00:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [07:00:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [07:00:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [07:00:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [08:00:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [08:00:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [08:00:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [08:00:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [08:00:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [08:00:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:00:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 07/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 07/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [08:00:00 07/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [08:00:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 07/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 150 vu: ml t0: [08:00:00 07/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 13.5 vu: ml t0: [08:00:00 07/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 07/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml t0: [08:00:00 07/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 8 vu: ml
t0: [07:00:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 07/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 22 u1: ml/cmH st: NotStopd t0: [08:00:00 07/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [08:00:00 07/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 14.5 t0: [08:00:00 07/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.55 u1: torr st: NotStopd t0: [08:00:00 07/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 07/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 07/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.2 st: NotStopd t0: [08:00:00 07/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 6.0 mm st: NotStopd t0: [08:00:00 07/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [08:00:00 07/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.2 u1: Deg. C st: NotStopd t0: [08:00:00 07/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [08:00:00 07/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [08:00:00 07/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [08:00:00 07/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.2 u1: L/min st: NotStopd t0: [08:00:00 07/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 07/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [08:00:00 07/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [08:00:00 07/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [08:00:00 07/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 07/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [08:00:00 07/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [08:00:00 07/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 07/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 553 u1: ml/B st: NotStopd t0: [08:00:00 07/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [08:00:00 07/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 07/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [08:00:00 07/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [09:00:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [09:00:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [09:00:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 163 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [09:00:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [09:00:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:00:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [09:00:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [09:00:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 27 u1: BPM st: NotStopd t0: [09:00:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 07/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 75 vu: ml t0: [09:00:00 07/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 6.75 vu: ml t0: [09:00:00 07/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 07/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 35 vu: ml t0: [09:00:00 07/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml
t0: [09:00:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 07/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [08:00:00 07/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:30:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:30:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:30:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:30:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [09:30:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [09:30:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:30:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 91 u1: BPM st: NotStopd t0: [09:30:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:30:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [09:30:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [09:30:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:30:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [09:30:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:30:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [09:30:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:30:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:30:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:30:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [09:30:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:00:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [10:00:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [10:00:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [10:00:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:00:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [10:00:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [10:00:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [10:00:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:15:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:15:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:15:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:15:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [10:15:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:15:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:15:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [10:15:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:15:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [10:15:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 54 u1: mmHg st: NotStopd t0: [10:15:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:15:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [10:15:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:15:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [10:15:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:15:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:15:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:15:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [10:15:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:30:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:30:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:30:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:30:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:30:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:30:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:30:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 82 u1: BPM st: NotStopd t0: [10:30:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:30:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [10:30:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [10:30:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:30:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [10:30:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:30:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [10:30:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:30:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:30:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:30:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [10:30:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:30:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:30:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:30:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:15:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:15:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:15:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:30:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:30:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:30:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [11:00:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [11:00:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [11:00:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [11:00:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [11:00:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [11:00:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [11:00:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [11:00:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [11:00:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:00:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [10:00:00 07/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 75 vu: ml t0: [11:00:00 07/11/2011] tf: [15:00:00 07/11/2011] dt: 240 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml t0: [10:00:00 07/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 07/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [10:00:00 07/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 5 vu: ml t0: [11:00:00 07/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 75 vu: ml t0: [11:00:00 07/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 5.0625 vu: ml t0: [11:00:00 07/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 07/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [11:00:00 07/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 5 vu: ml
t0: [08:00:00 07/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Reinforced st: NotStopd t0: [08:00:00 07/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [08:00:00 07/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [08:00:00 07/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [08:00:00 07/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 07/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [08:00:00 07/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 07/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 07/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 07/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 07/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 07/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [08:00:00 07/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Invasive Lines st: NotStopd t0: [08:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7863 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7743 id: Eye Care el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 07/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 07/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7863 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [08:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7863 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [08:00:00 07/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [08:00:00 07/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 07/11/2011] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 07/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [08:00:00 07/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 07/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 07/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 07/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [08:00:00 07/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 07/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 07/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 07/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 07/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [08:00:00 07/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 07/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 07/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 07/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 07/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 07/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7863 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7743 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 07/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [08:00:00 07/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [08:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7863 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 07/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 07/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 07/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 07/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [08:00:00 07/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [08:00:00 07/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 07/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 07/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 07/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 07/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 07/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 07/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 07/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 07/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 07/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7863 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Flexion st: NotStopd t0: [08:00:00 07/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 07/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 07/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 07/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 07/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 07/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 07/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 07/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 07/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7863 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [08:00:00 07/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 07/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [08:00:00 07/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 07/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 07/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [08:00:00 07/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 07/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [08:00:00 07/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 07/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 07/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 07/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 07/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 07/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 10 u1: number st: NotStopd t0: [08:00:00 07/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd t0: [08:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7863 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [08:00:00 07/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [10:00:00 07/11/2011] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 07/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 07/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 07/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [10:00:00 07/11/2011] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 07/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 07/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [10:00:00 07/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [10:00:00 07/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [10:00:00 07/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd
pt: TPN
t0: [11:30:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:30:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:30:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:30:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:30:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [11:30:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [11:30:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [11:30:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [11:30:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [11:30:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:30:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [11:30:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:30:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:30:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:30:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [11:30:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [12:00:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [12:00:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [12:00:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [12:00:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [12:00:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [12:00:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [12:00:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [12:00:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 07/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 07/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [12:00:00 07/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [12:00:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 07/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 100 vu: ml t0: [11:00:00 07/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 300 vu: ml t0: [12:00:00 07/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 75 vu: ml t0: [12:00:00 07/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 6.75 vu: ml t0: [12:00:00 07/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 07/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 25 vu: ml t0: [12:00:00 07/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 5 vu: ml
t0: [11:30:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:30:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 07/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 112 rs: Manual st: NotStopd
t0: [12:00:00 07/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 22.9167 u1: ml/cmH st: NotStopd t0: [12:00:00 07/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [12:00:00 07/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 14.5 t0: [12:00:00 07/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.55 u1: torr st: NotStopd t0: [12:00:00 07/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 07/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 07/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.2 st: NotStopd t0: [12:00:00 07/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 6.0 mm st: NotStopd t0: [12:00:00 07/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [12:00:00 07/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.3 u1: Deg. C st: NotStopd t0: [12:00:00 07/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [12:00:00 07/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [12:00:00 07/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 07/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.3 u1: L/min st: NotStopd t0: [12:00:00 07/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 07/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [12:00:00 07/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [12:00:00 07/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [12:00:00 07/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:00:00 07/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [12:00:00 07/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [12:00:00 07/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 07/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 584 u1: ml/B st: NotStopd t0: [12:00:00 07/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [12:00:00 07/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 07/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [12:00:00 07/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
tf: [13:00:00 08/11/2011] pt: Unit Dose rt: IV fr: ONCE fs: 14 dn: 1 m1: Calcium Gluconate v1: 2 u1: gm
t0: [13:00:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [13:00:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [13:00:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [13:00:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [13:00:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [13:00:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [13:00:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [13:00:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:00:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [13:00:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [14:00:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [14:00:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 102 u1: BPM st: NotStopd t0: [14:00:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [14:00:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [14:00:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [14:00:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [14:00:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [14:00:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [14:00:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [14:00:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [15:00:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [15:00:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 109 u1: BPM st: NotStopd t0: [15:00:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 158 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [15:00:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [15:00:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [15:00:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [15:00:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [15:00:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [15:00:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [15:00:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [15:00:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [15:00:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 07/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 250 vu: ml t0: [13:00:00 07/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 75 vu: ml t0: [13:00:00 07/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 3.375 vu: ml t0: [13:00:00 07/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 07/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml t0: [13:00:00 07/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 5 vu: ml t0: [14:00:00 07/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 75 vu: ml t0: [14:00:00 07/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 3.375 vu: ml t0: [14:00:00 07/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 07/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml t0: [14:00:00 07/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 5 vu: ml t0: [15:00:00 07/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 75 vu: ml t0: [15:00:00 07/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml t0: [15:00:00 07/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 07/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [15:00:00 07/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 5 vu: ml
t0: [13:00:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [16:00:00 07/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 22 u1: ml/cmH st: NotStopd t0: [16:00:00 07/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [16:00:00 07/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 14.5 t0: [16:00:00 07/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.55 u1: torr st: NotStopd t0: [16:00:00 07/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 07/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 07/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.2 st: NotStopd t0: [16:00:00 07/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 6.0 mm st: NotStopd t0: [16:00:00 07/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [16:00:00 07/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [16:00:00 07/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [16:00:00 07/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [16:00:00 07/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 07/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.5 u1: L/min st: NotStopd t0: [16:00:00 07/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 07/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [16:00:00 07/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [16:00:00 07/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [16:00:00 07/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:00:00 07/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [16:00:00 07/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [16:00:00 07/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 93 u1: % st: NotStopd t0: [16:00:00 07/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 07/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [16:00:00 07/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 583 u1: ml/B st: NotStopd t0: [16:00:00 07/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [16:00:00 07/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 07/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [16:00:00 07/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 07/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 07/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 07/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [08:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7863 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [08:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7863 id: Pain Management el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 07/11/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Push v2: Repositioned st: NotStopd t0: [12:00:00 07/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Reinforced st: NotStopd t0: [12:00:00 07/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [12:00:00 07/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [12:00:00 07/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [12:00:00 07/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 07/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 07/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 07/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [12:00:00 07/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 07/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 07/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 07/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 07/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 07/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7623 id: Education Barrier el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [12:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7623 id: Education Handout el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7623 id: Education Learner el: 0 cu: MICU-A cg: RN v1: Not Given st: NotStopd t0: [12:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7623 id: Education Method el: 0 cu: MICU-A cg: RN v1: Sig Othr/Family st: NotStopd t0: [12:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7623 id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Explanation st: NotStopd t0: [12:00:00 07/11/2011] id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7623 id: Education Response el: 0 cu: MICU-A cg: RN v1: Understands st: NotStopd t0: [12:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7623 id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [12:00:00 07/11/2011] id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: Blood Transfusio st: NotStopd t0: [12:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7623 id: Family Communication el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 07/11/2011] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 07/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 07/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7623 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [12:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7623 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [16:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7383 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [12:00:00 07/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 07/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 07/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 07/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 07/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 07/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [12:00:00 07/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 07/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 07/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [12:00:00 07/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 07/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7623 id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: Through Fascia v2: Yes st: NotStopd t0: [12:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7623 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: 0.5 cm st: NotStopd t0: [16:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7383 id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: Serosanguinous v2: Scant st: NotStopd t0: [12:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7623 id: PressSore Wth/Lth #1 el: 0 cu: MICU-A cg: RN v1: 3 cm v2: 3 cm st: NotStopd t0: [12:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7623 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Normal Saline st: NotStopd t0: [12:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7623 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Alginate/Kalstat st: NotStopd t0: [12:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7623 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [16:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7383 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [12:00:00 07/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 07/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [12:00:00 07/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 07/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 07/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 07/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 07/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 07/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 07/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 07/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7623 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Flexion st: NotStopd t0: [16:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7383 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 07/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 07/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 07/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 07/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [12:00:00 07/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 07/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 07/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 07/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [12:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7623 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [16:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7383 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Relative st: NotStopd t0: [12:00:00 07/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 07/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [12:00:00 07/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 07/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [12:00:00 07/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 07/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 07/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 07/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 07/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [12:00:00 07/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [12:00:00 07/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7623 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [16:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7383 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [15:00:00 07/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [15:00:00 07/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [15:00:00 07/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 07/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 07/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Reinforced st: NotStopd t0: [16:00:00 07/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [16:00:00 07/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [16:00:00 07/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [16:00:00 07/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 07/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [16:00:00 07/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 07/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [16:00:00 07/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 07/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 07/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:00:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [16:00:00 07/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [16:00:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 07/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 07/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 07/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7383 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [16:00:00 07/11/2011] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [16:00:00 07/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [16:00:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [16:00:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 07/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 07/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 07/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 07/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 07/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 07/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [16:00:00 07/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 07/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 07/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [16:00:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [16:00:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [16:00:00 07/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7383 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:00:00 07/11/2011] id: PresSoreStage/Heal#1 el: 0 cu: MICU-A cg: RN v1: Through Fascia v2: Yes st: NotStopd t0: [16:00:00 07/11/2011] id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: 0.5 cm st: NotStopd t0: [16:00:00 07/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Serosanguinous v2: Scant st: NotStopd t0: [16:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7383 id: PressSore Wth/Lth #1 el: 0 cu: MICU-A cg: RN v1: 3 cm v2: 3 cm st: NotStopd t0: [16:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7383 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 07/11/2011] id: PressSoreWoundBase#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [16:00:00 07/11/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [16:00:00 07/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [16:00:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:00:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [16:00:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:00:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 07/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [16:00:00 07/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 07/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 07/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [16:00:00 07/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 07/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 07/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 07/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 07/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [16:00:00 07/11/2011] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Flexion st: NotStopd t0: [16:00:00 07/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 07/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 07/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 07/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 07/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 07/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 07/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 07/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [16:00:00 07/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [16:00:00 07/11/2011] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [16:00:00 07/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 07/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [16:00:00 07/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 07/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [16:00:00 07/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 07/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 07/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 07/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 07/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [16:00:00 07/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [16:00:00 07/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 07/11/2011] id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [16:00:00 07/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [15:00:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [17:00:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [17:00:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [17:00:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [17:00:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [17:00:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [17:00:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [17:00:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [17:00:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [17:00:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:00:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [17:00:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 07/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [12:00:00 07/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 07/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [16:00:00 07/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 07/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [16:00:00 07/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.3 u1: Deg. F st: NotStopd
t0: [14:00:00 07/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 100 vu: ml t0: [15:00:00 07/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [16:00:00 07/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 300 vu: ml t0: [16:00:00 07/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 75 vu: ml t0: [16:00:00 07/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml t0: [16:00:00 07/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [16:00:00 07/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 25 vu: ml t0: [16:00:00 07/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 5 vu: ml t0: [17:00:00 07/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 75 vu: ml t0: [17:00:00 07/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml t0: [17:00:00 07/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [17:00:00 07/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml t0: [17:00:00 07/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 5 vu: ml
t0: [17:26:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7297 id: Blood Products Hematology el: 0 cu: MICU-A cg: 1663 v1: Y rs: Final st: NotStopd
io: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ra: 10 ru: ml/hr io: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ra: 42.4 ru: ml/hr
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 500.0ml IV Infusions vo: 500 du: ml rt: Intravenous Push id: TPN el: 1 cu: MICU-A cg: RN io: TPN 1600.0ml IV Infusions vo: 1600 du: ml rt: Intravenous Push
t0: [18:00:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [18:00:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [18:00:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [18:00:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [18:00:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [18:00:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [18:00:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [18:00:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [18:00:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:00:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [18:00:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 07/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 75 vu: ml t0: [18:00:00 07/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml t0: [18:00:00 07/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [18:00:00 07/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 90 vu: ml t0: [18:00:00 07/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml t0: [18:00:00 07/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 5 vu: ml
t0: [18:00:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 07/11/2011] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU-A cg: RN cv: 170 ap: none
t0: [18:30:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:30:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:30:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:30:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [18:30:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [18:30:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:30:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [18:30:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:30:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [18:30:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [18:30:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [18:30:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [18:30:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:30:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [18:30:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:30:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:30:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:30:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [18:30:00 07/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [18:30:00 07/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [18:30:00 07/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [18:30:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 07/11/2011] tf: [21:00:00 07/11/2011] dt: 180 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 50 vu: ml t0: [18:30:00 07/11/2011] id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vu: ml nb: 1 t0: [19:00:00 07/11/2011] tf: [15:00:00 12/11/2011] dt: 6960 id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vu: ml nb: 1 t0: [19:00:00 07/11/2011] tf: [08:00:00 10/11/2011] dt: 3660 id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vu: ml nb: 1 t0: [19:00:00 07/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 75 vu: ml t0: [19:00:00 07/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml t0: [19:00:00 07/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [19:00:00 07/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [19:00:00 07/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 25 vu: ml t0: [19:00:00 07/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 5 vu: ml t0: [19:00:00 07/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 42.4 vu: ml
t0: [18:30:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:30:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:30:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [18:45:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:45:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:45:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:45:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [18:45:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [18:45:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:45:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [18:45:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:45:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [18:45:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [18:45:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [18:45:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [18:45:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:45:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [18:45:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:45:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:45:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:45:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [18:45:00 07/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [18:45:00 07/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [18:45:00 07/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [18:45:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:45:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:45:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:45:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 07/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 22 u1: ml/cmH st: NotStopd t0: [20:00:00 07/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [20:00:00 07/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 17 t0: [20:00:00 07/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 07/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 07/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 07/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 6.0 mm st: NotStopd t0: [20:00:00 07/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [20:00:00 07/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 07/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [20:00:00 07/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [20:00:00 07/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 07/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 13.8 u1: L/min st: NotStopd t0: [20:00:00 07/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 07/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:00:00 07/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [20:00:00 07/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [20:00:00 07/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 6 u1: BPM st: NotStopd t0: [20:00:00 07/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 24 u1: BPM st: NotStopd t0: [20:00:00 07/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [20:00:00 07/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 95 u1: % st: NotStopd t0: [20:00:00 07/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 602 u1: ml/B st: NotStopd t0: [20:00:00 07/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [20:00:00 07/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 07/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [20:00:00 07/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 07/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: -1 ai: 117 vo: 0 st: D/C'd
t0: [19:00:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [19:00:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PAC's st: NotStopd t0: [19:00:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [19:00:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [19:00:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [19:00:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [19:00:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 150 u2: mmHg st: NotStopd t0: [19:00:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [19:00:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [19:00:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [19:00:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [19:00:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 07/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 07/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [20:00:00 07/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [20:00:00 07/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [20:00:00 07/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 07/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 07/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [20:00:00 07/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 07/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 07/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7143 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/O2 Issues st: NotStopd t0: [20:00:00 07/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 07/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 07/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [20:00:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [20:00:00 07/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [20:00:00 07/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 07/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [20:00:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 07/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [20:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7143 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 07/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 07/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 07/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7143 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [20:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7143 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [20:00:00 07/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [20:00:00 07/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 105 u1: BPM st: NotStopd t0: [20:00:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7143 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 07/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 07/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [20:00:00 07/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 07/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 07/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 07/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [20:00:00 07/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 07/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7143 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 07/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 07/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 07/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 07/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 07/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 07/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 07/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [20:00:00 07/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 07/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7143 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 07/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 07/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 07/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 174 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [20:00:00 07/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg st: NotStopd t0: [20:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7143 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 07/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 07/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 07/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [20:00:00 07/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [20:00:00 07/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [20:00:00 07/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [20:00:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:00:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [20:00:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 07/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [20:00:00 07/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 07/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 07/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 07/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 07/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [20:00:00 07/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 07/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 07/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7143 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [20:00:00 07/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 07/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 07/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 07/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 07/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 07/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 07/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 07/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [20:00:00 07/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [20:00:00 07/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [20:00:00 07/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7143 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [20:00:00 07/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 07/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 07/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [20:00:00 07/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [20:00:00 07/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [20:00:00 07/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 07/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 07/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [20:00:00 07/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 07/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 07/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7143 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [20:00:00 07/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [20:00:00 07/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: RN ai: 154 vo: 75 vu: ml st: Stopped t0: [20:00:00 07/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [20:00:00 07/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [20:00:00 07/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml t0: [20:00:00 07/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 5 vu: ml t0: [20:00:00 07/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 42.4 vu: ml
t0: [19:00:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 07/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [21:00:00 07/11/2011] id: Po Intake PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 103 vo: 0 st: D/C'd t0: [21:00:00 07/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd t0: [21:00:00 07/11/2011] id: D5NS IV Infusions el: 1 cu: MICU-A cg: -1 ai: 154 vo: 0 st: D/C'd t0: [21:00:00 07/11/2011] id: ProBalance Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 3680 vo: 0 st: D/C'd
t0: [21:00:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [21:00:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [21:00:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [21:00:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [21:00:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [21:00:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [21:00:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [21:00:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:00:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [21:00:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [21:00:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [21:00:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 07/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 300 vu: ml t0: [21:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7083 id: Packed RBC's 400.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 416 vo: 375 vu: ml t0: [21:00:00 07/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [21:00:00 07/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [21:00:00 07/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 25 vu: ml t0: [21:00:00 07/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 5 vu: ml t0: [21:00:00 07/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 42.4 vu: ml
t0: [21:00:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [22:00:00 07/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [22:00:00 07/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 07/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [22:00:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [22:00:00 07/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [22:00:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 07/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [22:00:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 101 u1: BPM st: NotStopd t0: [22:00:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 145 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [22:00:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [22:00:00 07/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:00:00 07/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [22:00:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [22:00:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:00:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [22:00:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [22:00:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 07/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 07/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 07/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 07/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 07/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 07/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 07/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [22:00:00 07/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [22:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7023 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [22:00:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 07/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml nb: 1 t0: [22:00:00 07/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [22:00:00 07/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [22:00:00 07/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml t0: [22:00:00 07/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 5 vu: ml t0: [22:00:00 07/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 42.4 vu: ml
t0: [22:00:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 07/11/2011] dt: 24 id: Blood Products Total el: 2 cu: MICU-A cg: RN cv: 375 ap: none
t0: [22:00:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 07/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 07/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 07/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 07/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [23:00:00 07/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [23:00:00 07/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 07/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [23:00:00 07/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 07/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 161 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [23:00:00 07/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg st: NotStopd t0: [23:00:00 07/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [23:00:00 07/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [23:00:00 07/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 07/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [23:00:00 07/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [23:00:00 07/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 07/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [23:00:00 07/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 07/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 07/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [23:00:00 07/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [23:00:00 07/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 07/11/2011] tf: [01:00:00 08/11/2011] dt: 120 id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 20 vu: ml t0: [23:00:00 07/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml t0: [23:00:00 07/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 5 vu: ml t0: [23:00:00 07/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 42.4 vu: ml
t0: [23:00:00 07/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 07/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 07/11/2011] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 30 cv: 30 ap: none t0: [23:00:00 07/11/2011] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 107.4 cv: 107.4 ap: none t0: [23:00:00 07/11/2011] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 75 cv: 3630.69 ap: none t0: [23:00:00 07/11/2011] dt: 24 id: IV Nutrition Total el: 2 cu: MICU-A cg: RN pv: 42.4 cv: 212 ap: none t0: [23:00:00 07/11/2011] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 137.4 cv: 4237.69 ap: none t0: [23:00:00 07/11/2011] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN pv: 20 cv: 20 ap: none t0: [23:00:00 07/11/2011] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 30 cv: 1060 ap: none t0: [23:00:00 07/11/2011] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 107.4 cv: 3007.69 ap: none t0: [23:00:00 07/11/2011] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 30 cv: 1230 ap: none t0: [23:00:00 07/11/2011] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 107.4 cv: 18858.5 ap: carryForward
t0: [00:00:00 08/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 19.6429 u1: ml/cmH st: NotStopd t0: [00:00:00 08/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [00:00:00 08/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 17 t0: [00:00:00 08/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 08/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 08/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 08/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 6.0 mm st: NotStopd t0: [00:00:00 08/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [00:00:00 08/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 08/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [00:00:00 08/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [00:00:00 08/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [00:00:00 08/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11 u1: L/min st: NotStopd t0: [00:00:00 08/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 08/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [00:00:00 08/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [00:00:00 08/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 08/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:00:00 08/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:00:00 08/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [00:00:00 08/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [00:00:00 08/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 08/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 596 u1: ml/B st: NotStopd t0: [00:00:00 08/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [00:00:00 08/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 08/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [00:00:00 08/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 08/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWkr v1: 124 rs: Manual st: NotStopd
t0: [20:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7143 id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7143 id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7143 id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 07/11/2011] tf: [19:03:00 12/11/2011] dt: 7143 id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [00:00:00 08/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Changed st: NotStopd t0: [00:00:00 08/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [00:00:00 08/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: 20 cm st: NotStopd t0: [00:00:00 08/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [00:00:00 08/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 08/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 08/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [00:00:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 08/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [00:00:00 08/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 08/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 08/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6903 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/O2 Issues st: NotStopd t0: [00:00:00 08/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 08/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 08/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [00:00:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [00:00:00 08/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [00:00:00 08/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 08/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [00:00:00 08/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 08/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [00:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6903 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 08/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 08/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 08/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6903 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6903 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 08/11/2011] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [00:00:00 08/11/2011] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [00:00:00 08/11/2011] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [00:00:00 08/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [00:00:00 08/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [00:00:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6903 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 08/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 08/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [00:00:00 08/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 08/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 08/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [00:00:00 08/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 08/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6903 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 08/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 08/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 08/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 08/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 08/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 08/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [00:00:00 08/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 08/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6903 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 08/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 08/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 08/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [00:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6903 id: Pain Management el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 08/11/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [00:00:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [00:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6903 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 08/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 08/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 08/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6903 id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [00:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6903 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [00:00:00 08/11/2011] id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: 0.5 cm st: NotStopd t0: [00:00:00 08/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Serous v2: Moderate st: NotStopd t0: [00:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6903 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6903 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 08/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [00:00:00 08/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [00:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6903 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [00:00:00 08/11/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [00:00:00 08/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [00:00:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:00:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [00:00:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [00:00:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 08/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 08/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 08/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 08/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 08/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [00:00:00 08/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 08/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 08/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [00:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6903 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:00:00 08/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 08/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 08/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 08/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 08/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 08/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 08/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 08/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [00:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6903 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [00:00:00 08/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 08/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 08/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [00:00:00 08/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [00:00:00 08/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [00:00:00 08/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 08/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 08/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [00:00:00 08/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 08/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 08/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 08/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 08/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 08/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 08/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 08/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 08/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 08/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6903 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [00:00:00 08/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [01:00:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [01:00:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [01:00:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 101 u1: BPM st: NotStopd t0: [01:00:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 150 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [01:00:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [01:00:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:00:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [01:00:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:00:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [01:00:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [01:00:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 07/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 10 vu: ml t0: [00:00:00 08/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [00:00:00 08/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 08/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 10 vu: ml t0: [00:00:00 08/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml t0: [00:00:00 08/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 5 vu: ml t0: [00:00:00 08/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 42.4 vu: ml t0: [01:00:00 08/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 200 vu: ml t0: [01:00:00 08/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [01:00:00 08/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 08/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 10 vu: ml st: Stopped t0: [01:00:00 08/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml t0: [01:00:00 08/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 5 vu: ml t0: [01:00:00 08/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 42.4 vu: ml
t0: [00:00:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 08/11/2011] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: 1663 pv: 20 cv: 160 ap: none
t0: [02:00:00 08/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [02:00:00 08/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 08/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [02:00:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [02:00:00 08/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [02:00:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 08/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [02:00:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [02:00:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [02:00:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [02:00:00 08/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [02:00:00 08/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [02:00:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [02:00:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [02:00:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [02:00:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [02:00:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 08/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 08/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 08/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 08/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 08/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 08/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6783 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [02:00:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 08/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [02:00:00 08/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 08/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 25 vu: ml t0: [02:00:00 08/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 5 vu: ml t0: [02:00:00 08/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 42.4 vu: ml
t0: [02:00:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [02:23:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6760 id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.31 rs: Final st: NotStopd t0: [02:23:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6760 id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.2 rs: Final st: NotStopd t0: [02:23:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6760 id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -5 rs: Final st: NotStopd t0: [02:23:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6760 id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 21 rs: Final st: NotStopd t0: [02:23:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6760 id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [02:23:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6760 id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 83 u1: mmHg rs: Final st: NotStopd t0: [02:23:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6760 id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.31 rs: Final st: NotStopd t0: [02:23:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6760 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.2 rs: Final st: NotStopd
t0: [03:00:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [03:00:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [03:00:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 105 u1: BPM st: NotStopd t0: [03:00:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 159 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [03:00:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [03:00:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:00:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [03:00:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [03:00:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [03:00:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [03:00:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 08/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [03:00:00 08/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 08/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml t0: [03:00:00 08/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 5 vu: ml t0: [03:00:00 08/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 42.4 vu: ml
t0: [03:00:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 32.6 u1: % rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.1 u1: gm/dl rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 48 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.65 u1: /mic l rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 18 rs: Final st: NotStopd
t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: PT el: 0 cu: MICU-A cg: 1663 v1: 12.1 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 33.6 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.1 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 33.6 rs: Final st: NotStopd
t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: BUN el: 0 cu: MICU-A cg: 1663 v1: 65 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 97 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 99 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.8 u1: mEq/L rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 130 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Uric Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.3 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 39 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 40 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.5 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 338 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Amylase Enzymes el: 0 cu: MICU-A cg: 1663 v1: 57 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 65 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 97 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 99 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 273 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.8 u1: mEq/L rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.4 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 130 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Uric Acid (2.7-7.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.3 rs: Final st: NotStopd
t0: [03:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6723 id: BATH el: 0 cu: MICU-A cg: RN v1: Done t0: [03:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6723 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 08/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 08/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 08/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [03:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6723 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 08/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6663 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [03:00:00 08/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 08/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 08/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [03:00:00 08/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [03:00:00 08/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [03:00:00 08/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 08/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 08/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 08/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [04:00:00 08/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [04:00:00 08/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [04:00:00 08/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 08/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 08/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [04:00:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 08/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [04:00:00 08/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [04:00:00 08/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 08/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 08/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6663 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/O2 Issues st: NotStopd t0: [04:00:00 08/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 08/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 08/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [04:00:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:00:00 08/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [04:00:00 08/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 08/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [04:00:00 08/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 08/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [04:00:00 08/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 08/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 08/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6663 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6663 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [04:00:00 08/11/2011] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [04:00:00 08/11/2011] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [04:00:00 08/11/2011] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [04:00:00 08/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [04:00:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 114 u1: BPM st: NotStopd t0: [04:00:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6663 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 08/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 08/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [04:00:00 08/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 08/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 08/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 08/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [04:00:00 08/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 08/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6663 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 08/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 08/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 08/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 08/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [04:00:00 08/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [04:00:00 08/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 08/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 08/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 08/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 168 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [04:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6663 id: Pain Management el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 08/11/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [04:00:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [04:00:00 08/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 08/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:00:00 08/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [04:00:00 08/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [04:00:00 08/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [04:00:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [04:00:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [04:00:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [04:00:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 08/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [04:00:00 08/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 08/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 08/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 08/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [04:00:00 08/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [04:00:00 08/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 08/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 08/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [04:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6663 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Flexion st: NotStopd t0: [04:00:00 08/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 08/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 08/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 08/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 08/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [04:00:00 08/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [04:00:00 08/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6663 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [04:00:00 08/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 08/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 08/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [04:00:00 08/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [04:00:00 08/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 08/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [04:00:00 08/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 08/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [04:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6663 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [04:00:00 08/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [01:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6843 id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 200 vu: ml t0: [04:00:00 08/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [04:00:00 08/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 08/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 35 vu: ml t0: [04:00:00 08/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 5 vu: ml t0: [04:00:00 08/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 42.4 vu: ml
t0: [04:00:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 08/11/2011] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 200 ap: none
t0: [04:00:00 08/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 32.3529 u1: ml/cmH st: NotStopd t0: [04:00:00 08/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [04:00:00 08/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 20 t0: [04:00:00 08/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 08/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 08/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 08/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 6.0 mm st: NotStopd t0: [04:00:00 08/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [04:00:00 08/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 08/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [04:00:00 08/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [04:00:00 08/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [04:00:00 08/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.9 u1: L/min st: NotStopd t0: [04:00:00 08/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 08/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [04:00:00 08/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [04:00:00 08/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [04:00:00 08/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 3 u1: BPM st: NotStopd t0: [04:00:00 08/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 21 u1: BPM st: NotStopd t0: [04:00:00 08/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:00:00 08/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 08/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 586 u1: ml/B st: NotStopd t0: [04:00:00 08/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [04:00:00 08/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 08/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [04:00:00 08/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [05:00:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [05:00:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 109 u1: BPM st: NotStopd t0: [05:00:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [05:00:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [05:00:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [05:00:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [05:00:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [05:00:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [05:00:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [05:00:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 08/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [05:00:00 08/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [05:00:00 08/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 08/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 20 vu: ml t0: [05:00:00 08/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 5 vu: ml t0: [05:00:00 08/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 42.4 vu: ml
t0: [05:00:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [05:00:00 08/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Changed st: NotStopd t0: [05:00:00 08/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 08/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 08/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [05:00:00 08/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 08/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [05:00:00 08/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [05:00:00 08/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [05:00:00 08/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd
t0: [06:00:00 08/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [06:00:00 08/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 08/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [06:00:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [06:00:00 08/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [06:00:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 08/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [06:00:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 107 u1: BPM st: NotStopd t0: [06:00:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [06:00:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [06:00:00 08/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [06:00:00 08/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [06:00:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [06:00:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [06:00:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [06:00:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [06:00:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 08/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 08/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 08/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 08/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 08/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 08/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6543 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [06:00:00 08/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [06:00:00 08/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.9444 u1: Deg. C st: NotStopd t0: [06:00:00 08/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.3 u1: Deg. F st: NotStopd t0: [06:00:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 08/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [06:00:00 08/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 08/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 10 vu: ml t0: [06:00:00 08/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 5 vu: ml t0: [06:00:00 08/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 42.4 vu: ml
t0: [06:00:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [06:00:00 08/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWkr v1: 109 rs: Manual st: NotStopd
t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Differential-Bands Hematology el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [02:12:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6771 id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 87 rs: Final st: NotStopd
t0: [07:00:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [07:00:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [07:00:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 106 u1: BPM st: NotStopd t0: [07:00:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [07:00:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [07:00:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [07:00:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [07:00:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [07:00:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [07:00:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [07:00:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [07:00:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 08/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 08/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Negative v2: Negative st: NotStopd t0: [08:00:00 08/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [08:00:00 08/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [08:00:00 08/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 08/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 08/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [08:00:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 08/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [08:00:00 08/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [08:00:00 08/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 08/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 08/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6423 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/O2 Issues st: NotStopd t0: [08:00:00 08/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 08/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 08/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [08:00:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [08:00:00 08/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [08:00:00 08/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 08/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [08:00:00 08/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 08/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [08:00:00 08/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 08/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 08/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6423 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6423 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 08/11/2011] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [08:00:00 08/11/2011] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [08:00:00 08/11/2011] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [08:00:00 08/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [08:00:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 108 u1: BPM st: NotStopd t0: [08:00:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6423 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 08/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 08/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [08:00:00 08/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 08/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 08/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [08:00:00 08/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 08/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6423 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 08/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 08/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 08/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 08/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 08/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [08:00:00 08/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 08/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 08/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [08:00:00 08/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [08:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6423 id: Pain Management el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 08/11/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [08:00:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [08:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6423 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 08/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [08:00:00 08/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [08:00:00 08/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [08:00:00 08/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [08:00:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [08:00:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [08:00:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 08/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [08:00:00 08/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 08/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 08/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 08/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 08/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [08:00:00 08/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 08/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 08/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6423 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Flexion st: NotStopd t0: [08:00:00 08/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 08/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 08/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 08/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 08/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 08/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [08:00:00 08/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6423 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [08:00:00 08/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 08/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 08/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [08:00:00 08/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [08:00:00 08/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [08:00:00 08/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [08:00:00 08/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 08/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 08/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 08/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [08:00:00 08/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 08/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 08/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6423 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [08:00:00 08/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [08:00:00 08/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 300 vu: ml t0: [08:00:00 08/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 20 vu: ml t0: [08:00:00 08/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 08/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 15 vu: ml t0: [08:00:00 08/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 10 vu: ml t0: [08:00:00 08/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 84.8 vu: ml
t0: [07:00:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 08/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26.1905 u1: ml/cmH st: NotStopd t0: [08:00:00 08/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [08:00:00 08/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 15 t0: [08:00:00 08/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.55 u1: torr st: NotStopd t0: [08:00:00 08/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 08/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 08/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 6.0 mm st: NotStopd t0: [08:00:00 08/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [08:00:00 08/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [08:00:00 08/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [08:00:00 08/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 08/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12.9 u1: L/min st: NotStopd t0: [08:00:00 08/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 08/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [08:00:00 08/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [08:00:00 08/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [08:00:00 08/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 4 u1: BPM st: NotStopd t0: [08:00:00 08/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [08:00:00 08/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [08:00:00 08/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 08/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 08/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 569 u1: ml/B st: NotStopd t0: [08:00:00 08/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [08:00:00 08/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 08/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [08:00:00 08/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [09:00:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [09:00:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [09:00:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [09:00:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 54 u1: mmHg st: NotStopd t0: [09:00:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:00:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [09:00:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [09:00:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:00:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [09:00:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [09:05:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:05:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:05:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:05:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [09:05:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [09:05:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:05:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 109 u1: BPM st: NotStopd t0: [09:05:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [09:05:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [09:05:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [09:05:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:05:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [09:05:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:05:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [09:05:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:05:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:05:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [09:05:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [09:05:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [09:10:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:10:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:10:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:10:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [09:10:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [09:10:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:10:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [09:10:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [09:10:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [09:10:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg st: NotStopd t0: [09:10:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:10:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [09:10:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:10:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [09:10:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:10:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:10:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [09:10:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [09:10:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [09:15:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:15:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:15:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:15:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [09:15:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [09:15:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:15:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [09:15:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [09:15:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [09:15:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [09:15:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:15:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [09:15:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:15:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [09:15:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:15:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:15:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [09:15:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [09:15:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [09:20:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:20:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:20:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:20:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [09:20:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [09:20:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:20:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 106 u1: BPM st: NotStopd t0: [09:20:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [09:20:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [09:20:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [09:20:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:20:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [09:20:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:20:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [09:20:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [09:20:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:20:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:20:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [09:20:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 08/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml st: Restart t0: [09:00:00 08/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [09:00:00 08/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 08/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 18 vu: ml t0: [09:00:00 08/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 5 vu: ml t0: [09:00:00 08/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 42.4 vu: ml
t0: [09:00:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.0103704 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:05:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:05:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.01 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:05:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:10:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:10:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.025 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:10:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:15:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:15:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.025 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:15:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:20:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:20:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.025 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:20:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 08/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 08/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 08/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 08/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [08:00:00 08/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [08:00:00 08/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 08/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [08:00:00 08/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 08/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [10:00:00 08/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 08/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 08/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [10:00:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [10:00:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:00:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 101 u1: BPM st: NotStopd t0: [10:00:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [10:00:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [10:00:00 08/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:00:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [10:00:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [10:00:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:00:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 08/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 08/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [10:00:00 08/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 08/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 08/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 08/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 08/11/2011] tf: [21:00:00 08/11/2011] dt: 660 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 7.60417 vu: ml t0: [10:00:00 08/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [10:00:00 08/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 08/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 17 vu: ml t0: [10:00:00 08/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 5 vu: ml t0: [10:00:00 08/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 42.4 vu: ml
t0: [10:00:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [10:18:00 08/11/2011] id: BSA el: 1033 cu: MICU-A cg: -1 v1: 2.10426 u1: m2 t0: [10:18:00 08/11/2011] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 90 u1: kg t0: [10:18:00 08/11/2011] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [10:18:00 08/11/2011] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: FUNGAL PNEUMONIA t0: [10:18:00 08/11/2011] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [10:18:00 08/11/2011] id: Admit Ht el: 1034 cu: MICU-A cg: -1 v1: 67 u1: inches t0: [10:18:00 08/11/2011] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [10:18:00 08/11/2011] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: M t0: [10:18:00 08/11/2011] id: Religion el: 1000 cu: MICU-A cg: -1 v1: RCA t0: [10:18:00 08/11/2011] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [10:18:00 08/11/2011] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [10:18:00 08/11/2011] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [10:18:00 08/11/2011] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [10:15:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:15:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:15:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:15:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [10:15:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:15:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:15:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [10:15:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [10:15:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [10:15:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg st: NotStopd t0: [10:15:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:15:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [10:15:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:15:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [10:15:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:15:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:15:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:15:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [10:15:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:30:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:30:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:30:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:30:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [10:30:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:30:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:30:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [10:30:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [10:30:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [10:30:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [10:30:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:30:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [10:30:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:30:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [10:30:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:30:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:30:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:30:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [10:30:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:45:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:45:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:45:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:45:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [10:45:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:45:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:45:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 118 u1: BPM st: NotStopd t0: [10:45:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [10:45:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [10:45:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [10:45:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:45:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [10:45:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:45:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [10:45:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [10:45:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:45:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:45:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [10:45:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [11:00:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [11:00:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 119 u1: BPM st: NotStopd t0: [11:00:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [11:00:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [11:00:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [11:00:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [11:00:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [11:00:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [11:00:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:00:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:15:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:15:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.03 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:15:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:30:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:30:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:30:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:45:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:45:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:45:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip
pt: TPN
t0: [12:00:00 08/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.5 u1: ml/cmH st: NotStopd t0: [12:00:00 08/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [12:00:00 08/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 15 t0: [12:00:00 08/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.55 u1: torr st: NotStopd t0: [12:00:00 08/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 08/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 08/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 6.0 mm st: NotStopd t0: [12:00:00 08/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [12:00:00 08/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [12:00:00 08/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [12:00:00 08/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 08/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.4 u1: L/min st: NotStopd t0: [12:00:00 08/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 08/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [12:00:00 08/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [12:00:00 08/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [12:00:00 08/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:00:00 08/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [12:00:00 08/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [12:00:00 08/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [12:00:00 08/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 546 u1: ml/B st: NotStopd t0: [12:00:00 08/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [12:00:00 08/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 08/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [12:00:00 08/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6423 id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Positive v2: 7 st: NotStopd t0: [08:00:00 08/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 08/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [09:00:00 08/11/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [09:00:00 08/11/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [09:00:00 08/11/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [11:00:00 08/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 08/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 08/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 08/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6183 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [11:00:00 08/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 08/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [11:00:00 08/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 08/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Reinforced st: NotStopd t0: [12:00:00 08/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Negative v2: Positive st: NotStopd t0: [12:00:00 08/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [12:00:00 08/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [12:00:00 08/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 08/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 08/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [12:00:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 08/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [12:00:00 08/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [12:00:00 08/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 08/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 08/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6183 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [12:00:00 08/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 08/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 08/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [12:00:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [12:00:00 08/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [12:00:00 08/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 08/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [12:00:00 08/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 08/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [12:00:00 08/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 08/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 08/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 08/11/2011] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Positive v2: 7 st: NotStopd t0: [12:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6183 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6183 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 08/11/2011] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [12:00:00 08/11/2011] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [12:00:00 08/11/2011] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [12:00:00 08/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [12:00:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [12:00:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6183 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 08/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 08/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [12:00:00 08/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 08/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 08/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 08/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [12:00:00 08/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 08/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6183 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 08/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 08/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 08/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 08/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 08/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [12:00:00 08/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 08/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 08/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [12:00:00 08/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [12:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6183 id: Pain Management el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 08/11/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [12:00:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [12:00:00 08/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 08/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6183 id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [12:00:00 08/11/2011] id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: 0.5 cm st: NotStopd t0: [12:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6183 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [12:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6183 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 08/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [12:00:00 08/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [12:00:00 08/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [12:00:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [12:00:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [12:00:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 08/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [12:00:00 08/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 08/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 08/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 08/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 08/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [12:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6183 id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [12:00:00 08/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 08/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 08/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6183 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Flexion st: NotStopd t0: [12:00:00 08/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 08/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 08/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 08/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 08/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [12:00:00 08/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 08/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 08/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 08/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [12:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6183 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [12:00:00 08/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 08/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 08/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [12:00:00 08/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [12:00:00 08/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 08/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [12:00:00 08/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 08/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [12:00:00 08/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 08/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [12:00:00 08/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 08/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 08/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 08/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [12:00:00 08/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6183 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [12:00:00 08/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [08:00:00 08/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 60 vu: ml t0: [08:00:00 08/11/2011] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 60 vu: ml t0: [09:00:00 08/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 100 vu: ml t0: [10:00:00 08/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [11:00:00 08/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 11.8125 vu: ml t0: [11:00:00 08/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [11:00:00 08/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 8.75 vu: ml t0: [11:00:00 08/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 25 vu: ml t0: [11:00:00 08/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 5 vu: ml t0: [11:00:00 08/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 42.4 vu: ml t0: [12:00:00 08/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 200 vu: ml t0: [12:00:00 08/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 50 vu: ml t0: [12:00:00 08/11/2011] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 60 vu: ml t0: [12:00:00 08/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 13.5 vu: ml t0: [12:00:00 08/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [12:00:00 08/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [12:00:00 08/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml st: Restart t0: [12:00:00 08/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 28 vu: ml t0: [12:00:00 08/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 5 vu: ml t0: [12:00:00 08/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 42.4 vu: ml
t0: [12:00:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 08/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 130 rs: Manual st: NotStopd t0: [13:00:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [13:00:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [13:00:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [13:00:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:00:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [13:00:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [13:00:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [13:00:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:00:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [13:00:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [13:00:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 08/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.875 vu: ml t0: [13:00:00 08/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [13:00:00 08/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [13:00:00 08/11/2011] tf: [09:00:00 09/11/2011] dt: 1200 id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 10 vu: ml t0: [13:00:00 08/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 18 vu: ml t0: [13:00:00 08/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2.5 vu: ml t0: [13:00:00 08/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 42.4 vu: ml
t0: [13:00:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [14:00:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 08/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [14:00:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [14:00:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [14:00:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [14:00:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [14:00:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [14:00:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [14:00:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [14:00:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [14:00:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [14:00:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 08/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.875 vu: ml t0: [14:00:00 08/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [14:00:00 08/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [14:00:00 08/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 10 vu: ml t0: [14:00:00 08/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 32 vu: ml t0: [14:00:00 08/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2.5 vu: ml t0: [14:00:00 08/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 42.4 vu: ml
t0: [14:00:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 08/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [14:00:00 08/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 08/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 08/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [14:00:00 08/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [14:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6063 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 08/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 08/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 08/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6063 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 08/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 08/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [14:00:00 08/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 08/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 08/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [14:00:00 08/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 08/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 08/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 08/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 08/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 08/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 08/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 6063 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [14:00:00 08/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [14:00:00 08/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 08/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:00:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [15:00:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [15:00:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 112 u1: BPM st: NotStopd t0: [15:00:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [15:00:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [15:00:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [15:00:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [15:00:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [15:00:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [15:00:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [15:00:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:00:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [15:00:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 08/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.875 vu: ml t0: [15:00:00 08/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [15:00:00 08/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [15:00:00 08/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 10 vu: ml t0: [15:00:00 08/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 15 vu: ml t0: [15:00:00 08/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2.5 vu: ml t0: [15:00:00 08/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 42.4 vu: ml
t0: [15:00:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [15:00:00 08/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 26.1905 u1: ml/cmH st: NotStopd t0: [15:00:00 08/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [15:00:00 08/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 15 t0: [15:00:00 08/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.55 u1: torr st: NotStopd t0: [15:00:00 08/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [15:00:00 08/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [15:00:00 08/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 6.0 mm st: NotStopd t0: [15:00:00 08/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: None st: NotStopd t0: [15:00:00 08/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [15:00:00 08/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [15:00:00 08/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [15:00:00 08/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [15:00:00 08/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.4 u1: L/min st: NotStopd t0: [15:00:00 08/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:00:00 08/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [15:00:00 08/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [15:00:00 08/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [15:00:00 08/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [15:00:00 08/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [15:00:00 08/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [15:00:00 08/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [15:00:00 08/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [15:00:00 08/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [15:00:00 08/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 547 u1: ml/B st: NotStopd t0: [15:00:00 08/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [15:00:00 08/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [15:00:00 08/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [15:00:00 08/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 08/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Reinforced st: NotStopd t0: [16:00:00 08/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Negative v2: Negative st: NotStopd t0: [16:00:00 08/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [16:00:00 08/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [16:00:00 08/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 08/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 08/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Grimace Scale st: NotStopd t0: [16:00:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 08/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 10 u1: mmHg st: NotStopd t0: [16:00:00 08/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [16:00:00 08/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 08/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 08/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5943 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [16:00:00 08/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 08/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 08/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:00:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:00:00 08/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [16:00:00 08/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 08/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [16:00:00 08/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 08/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [16:00:00 08/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 08/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 08/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5943 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5943 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 08/11/2011] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [16:00:00 08/11/2011] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [16:00:00 08/11/2011] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [16:00:00 08/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [16:00:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 105 u1: BPM st: NotStopd t0: [16:00:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5943 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 08/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [16:00:00 08/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [16:00:00 08/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 08/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 08/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 08/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [16:00:00 08/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 08/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5943 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 08/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 08/11/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [16:00:00 08/11/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 08/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 08/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 08/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 08/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 08/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [16:00:00 08/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [16:00:00 08/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [16:00:00 08/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [16:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5943 id: Pain Management el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 08/11/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [16:00:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [16:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5943 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 08/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5943 id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5943 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: Yes st: NotStopd t0: [16:00:00 08/11/2011] id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: 0.5 cm st: NotStopd t0: [16:00:00 08/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5943 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5943 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 08/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [16:00:00 08/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [16:00:00 08/11/2011] id: PressSoreWoundBase#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [16:00:00 08/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [16:00:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:00:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [16:00:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [16:00:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 08/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Brisk st: NotStopd t0: [16:00:00 08/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 08/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 08/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 08/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 08/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [16:00:00 08/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 08/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 08/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5943 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Flexion st: NotStopd t0: [16:00:00 08/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 08/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 08/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 08/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 08/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [16:00:00 08/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 08/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [16:00:00 08/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 08/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Liquid st: NotStopd t0: [16:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5943 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Mushroom Cath st: NotStopd t0: [16:00:00 08/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 08/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 08/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [16:00:00 08/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [16:00:00 08/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [16:00:00 08/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 08/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 08/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 08/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [16:00:00 08/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 08/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 08/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 08/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [16:00:00 08/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5943 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [16:00:00 08/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [16:00:00 08/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 350 vu: ml t0: [16:00:00 08/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 60 vu: ml t0: [16:00:00 08/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.875 vu: ml t0: [16:00:00 08/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [16:00:00 08/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [16:00:00 08/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 10 vu: ml t0: [16:00:00 08/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [16:00:00 08/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2.5 vu: ml t0: [16:00:00 08/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 42.4 vu: ml
t0: [16:00:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [17:00:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [17:00:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [17:00:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 102 u1: BPM st: NotStopd t0: [17:00:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [17:00:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [17:00:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [17:00:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [17:00:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [17:00:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [17:00:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:00:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [17:00:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [18:00:00 08/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWork v1: 172 rs: Manual st: NotStopd
t0: [18:00:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [18:00:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [18:00:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 105 u1: BPM st: NotStopd t0: [18:00:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [18:00:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [18:00:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [18:00:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [18:00:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [18:00:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [18:00:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [18:00:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 08/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.875 vu: ml t0: [17:00:00 08/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [17:00:00 08/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [17:00:00 08/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 10 vu: ml t0: [17:00:00 08/11/2011] tf: [19:00:00 08/11/2011] dt: 120 id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 25 vu: ml t0: [17:00:00 08/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2.5 vu: ml t0: [17:00:00 08/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 42.4 vu: ml t0: [18:00:00 08/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.875 vu: ml t0: [18:00:00 08/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [18:00:00 08/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [18:00:00 08/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 10 vu: ml t0: [18:00:00 08/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 130 vu: ml t0: [18:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5823 id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [18:00:00 08/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 15 vu: ml t0: [18:00:00 08/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2.5 vu: ml t0: [18:00:00 08/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 42.4 vu: ml
t0: [18:00:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [17:00:00 08/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 08/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 08/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 08/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 08/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [17:00:00 08/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 08/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [17:00:00 08/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 08/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [18:00:00 08/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 08/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 08/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 08/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 08/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [18:00:00 08/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 08/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 08/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [18:00:00 08/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5823 id: Significant Events el: 0 cu: MICU-A cg: RN v1: Fluid Bolus st: NotStopd
t0: [19:00:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [19:00:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [19:00:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [19:00:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 113 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [19:00:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [19:00:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [19:00:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [19:00:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [19:00:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [19:00:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:00:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [19:00:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [19:00:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 08/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.875 vu: ml t0: [19:00:00 08/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [19:00:00 08/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [19:00:00 08/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 10 vu: ml t0: [19:00:00 08/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [19:00:00 08/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2.5 vu: ml t0: [19:00:00 08/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 41.7 vu: ml
t0: [19:00:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 08/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: 2827 v1: 23.913 u1: ml/cmH st: NotStopd t0: [20:00:00 08/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: 2827 v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 08/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: 2827 v1: 15 t0: [20:00:00 08/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: 2827 v1: 0.55 u1: torr st: NotStopd t0: [20:00:00 08/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: 2827 v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 08/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: 2827 v1: 10 u1: BPM st: NotStopd t0: [20:00:00 08/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: 2827 v1: 1:3.2 st: NotStopd t0: [20:00:00 08/11/2011] id: Airway Size el: 0 cu: MICU-A cg: 2827 v1: 8.0 mm st: NotStopd t0: [20:00:00 08/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: 2827 v1: 35 u1: Deg. C st: NotStopd t0: [20:00:00 08/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: 2827 v1: 9 v2: 20 st: NotStopd t0: [20:00:00 08/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: 2827 v1: 6 st: NotStopd t0: [20:00:00 08/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: 2827 v1: 11 u1: cmH2O st: NotStopd t0: [20:00:00 08/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: 2827 v1: 11.4 u1: L/min st: NotStopd t0: [20:00:00 08/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: 2827 v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 08/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: 2827 v1: 20 st: NotStopd t0: [20:00:00 08/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: 2827 v1: 28 u1: cmH2O st: NotStopd t0: [20:00:00 08/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: 2827 v1: 23 u1: cmH2O st: NotStopd t0: [20:00:00 08/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: 2827 v1: 1 u1: BPM st: NotStopd t0: [20:00:00 08/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: 2827 v1: 19 u1: BPM st: NotStopd t0: [20:00:00 08/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: 2827 v1: 18 u1: BPM st: NotStopd t0: [20:00:00 08/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: 2827 v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: 2827 v1: 95 u1: % st: NotStopd t0: [20:00:00 08/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: 2827 v1: Tan v2: Thick st: NotStopd t0: [20:00:00 08/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: 2827 v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 08/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: 2827 v1: 580 u1: ml/B st: NotStopd t0: [20:00:00 08/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: 2827 v1: 550 u1: ml/B st: NotStopd t0: [20:00:00 08/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: 2827 v1: Assist Control st: NotStopd t0: [20:00:00 08/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: 2827 v1: Drager st: NotStopd t0: [20:00:00 08/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: 2827 v1: RAMP st: NotStopd
t0: [21:00:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [21:00:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [19:30:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:30:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:30:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:30:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:30:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [19:30:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [19:30:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [19:30:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [19:30:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [19:30:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [19:30:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [19:30:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [19:30:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [19:30:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [19:30:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [19:30:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [20:00:00 08/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 110 u1: BPM st: NotStopd t0: [20:00:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 184 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [20:00:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg st: NotStopd t0: [20:00:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [20:00:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:00:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [20:00:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:00:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 26 u1: BPM st: NotStopd t0: [20:00:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:30:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:30:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:30:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:30:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:30:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 105 u1: BPM st: NotStopd t0: [20:30:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [20:30:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [20:30:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [20:30:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 175 u2: mmHg st: NotStopd t0: [20:30:00 08/11/2011] id: CVP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:30:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [20:30:00 08/11/2011] id: NBP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: mmHg v2: 160 u2: mmHg st: NotStopd t0: [20:30:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:30:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [20:30:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [20:30:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 109 u1: BPM st: NotStopd t0: [21:00:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 127 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [21:00:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [21:00:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [21:00:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [21:00:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [21:00:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [21:10:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:10:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:10:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:10:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:10:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [21:10:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [21:10:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [21:10:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [21:10:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [21:10:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [21:10:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:10:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:10:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [21:10:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:30:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:30:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:30:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:30:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:30:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:30:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:45:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:10:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:10:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:10:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 08/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Changed st: NotStopd t0: [20:00:00 08/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Negative v2: Negative st: NotStopd t0: [20:00:00 08/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [20:00:00 08/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 08/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [20:00:00 08/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 08/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 08/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 08/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 08/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 08/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [20:00:00 08/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 08/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [20:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5703 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 08/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 08/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 08/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 6 u1: points st: NotStopd t0: [20:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5703 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5703 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 08/11/2011] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [20:00:00 08/11/2011] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [20:00:00 08/11/2011] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [20:00:00 08/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [20:00:00 08/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5703 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 08/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [20:00:00 08/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 08/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [20:00:00 08/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5703 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 08/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 08/11/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 08/11/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 08/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 08/11/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 08/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 08/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 08/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 08/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5703 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 08/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [20:00:00 08/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [20:00:00 08/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5703 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 08/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 08/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 08/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 08/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [20:00:00 08/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [20:00:00 08/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 08/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 08/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 08/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 08/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [20:00:00 08/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 08/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 08/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 08/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5703 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [20:00:00 08/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 08/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 08/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 08/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 08/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 08/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 08/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Formed st: NotStopd t0: [20:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5703 id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [20:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5703 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 08/11/2011] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 08/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [20:00:00 08/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 08/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [20:00:00 08/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [20:00:00 08/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 08/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 08/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5703 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [20:00:00 08/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [21:15:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:15:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:15:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:15:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:15:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 102 u1: BPM st: NotStopd t0: [21:15:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [21:15:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [21:15:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [21:15:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [21:15:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [21:15:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:15:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:15:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [21:15:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 08/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vu: ml nb: 1 t0: [20:00:00 08/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 20 vu: ml t0: [20:00:00 08/11/2011] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 60 vu: ml t0: [20:00:00 08/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.875 vu: ml t0: [20:00:00 08/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [20:00:00 08/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [20:00:00 08/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 10 vu: ml t0: [20:00:00 08/11/2011] tf: [21:00:00 09/11/2011] dt: 1500 id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 20 vu: ml t0: [20:00:00 08/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2.5 vu: ml t0: [20:00:00 08/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 41.7 vu: ml t0: [21:00:00 08/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 300 vu: ml t0: [21:00:00 08/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml t0: [21:00:00 08/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [21:00:00 08/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [21:00:00 08/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 20 vu: ml t0: [21:00:00 08/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 45 vu: ml t0: [21:00:00 08/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2.5 vu: ml t0: [21:00:00 08/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 41.7 vu: ml
t0: [21:15:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:15:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:15:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 08/11/2011] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 180 ap: none
t0: [21:25:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:25:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:25:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:25:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:25:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [21:25:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [21:25:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [21:25:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [21:25:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [21:25:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [21:25:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:25:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:25:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [21:25:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:25:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:25:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:25:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [22:00:00 08/11/2011] tf: [21:00:00 10/11/2011] dt: 2820 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 500 vu: ml t0: [22:00:00 08/11/2011] tf: [03:00:00 09/11/2011] dt: 300 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 20.5312 vu: ml t0: [22:00:00 08/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [22:00:00 08/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [22:00:00 08/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2.5 vu: ml t0: [22:00:00 08/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 41.7 vu: ml
t0: [20:00:00 08/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 08/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Very Sedated st: NotStopd t0: [20:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5703 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [20:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5703 id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Activity st: NotStopd t0: [20:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5703 id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt v2: Repositioned st: NotStopd t0: [20:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5703 id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: Yes st: NotStopd t0: [20:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5703 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: 0.5 cm st: NotStopd t0: [20:00:00 08/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5703 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [20:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5703 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5703 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [20:00:00 08/11/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [20:00:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [20:00:00 08/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [20:00:00 08/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 08/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 08/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 08/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 08/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 08/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [20:00:00 08/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 08/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [20:00:00 08/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [21:00:00 08/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [22:00:00 08/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [22:00:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 08/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [22:00:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 08/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [22:00:00 08/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [22:00:00 08/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [22:00:00 08/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [22:00:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 08/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [22:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5583 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5583 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [22:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5583 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [22:00:00 08/11/2011] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [22:00:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [22:00:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:00:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [22:00:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:00:00 08/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [22:00:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [22:00:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [22:00:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 08/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 08/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [22:00:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [22:00:00 08/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 08/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 08/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5583 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [22:00:00 08/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [22:00:00 08/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [22:00:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 08/11/2011] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vu: ml es: Large t0: [22:00:00 08/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 30 vu: ml t0: [22:00:00 08/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 20 vu: ml
t0: [22:00:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 08/11/2011] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: RN cv: 60 ap: carryForward t0: [23:00:00 08/11/2011] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU-A cg: RN cv: 160 ap: none
t0: [20:00:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [20:00:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 08/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Rectal st: NotStopd t0: [21:00:00 08/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [21:00:00 08/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [22:00:00 08/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [22:00:00 08/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Negative v2: Negative st: NotStopd t0: [22:00:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [22:00:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [22:00:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 08/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [22:00:00 08/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [22:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5583 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [22:00:00 08/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [23:00:00 08/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [23:00:00 08/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 08/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 08/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [23:00:00 08/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [23:00:00 08/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 08/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 08/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [23:00:00 08/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [23:00:00 08/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [23:00:00 08/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [23:00:00 08/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [23:00:00 08/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [23:00:00 08/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 08/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [23:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5523 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5523 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [23:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5523 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [23:00:00 08/11/2011] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [23:00:00 08/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 08/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [23:00:00 08/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 08/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 08/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 08/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 08/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [23:00:00 08/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [23:00:00 08/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [23:00:00 08/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 08/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 08/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [23:00:00 08/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [23:00:00 08/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [23:00:00 08/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [23:00:00 08/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 08/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [23:00:00 08/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 08/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [23:00:00 08/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [23:00:00 08/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [23:00:00 08/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [23:00:00 08/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [23:00:00 08/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 08/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [23:00:00 08/11/2011] tf: [19:03:00 12/11/2011] dt: 5523 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [23:00:00 08/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [23:00:00 08/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [23:00:00 08/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [23:00:00 08/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 08/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vu: ml nb: 1 t0: [23:00:00 08/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [23:00:00 08/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 23.625 vu: ml t0: [23:00:00 08/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [23:00:00 08/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [23:00:00 08/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml t0: [23:00:00 08/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2.5 vu: ml t0: [23:00:00 08/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 41.7 vu: ml
t0: [23:00:00 08/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 08/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 08/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 08/11/2011] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 30 cv: 30 ap: none t0: [23:00:00 08/11/2011] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: 1663 pv: 125.325 cv: 125.325 ap: none t0: [23:00:00 08/11/2011] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 93.625 cv: 2653.32 ap: none t0: [23:00:00 08/11/2011] dt: 24 id: IV Nutrition Total el: 2 cu: MICU-A cg: RN pv: 41.7 cv: 1014.1 ap: none t0: [23:00:00 08/11/2011] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: 1663 pv: 155.325 cv: 4007.42 ap: none t0: [23:00:00 08/11/2011] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 30 cv: 513 ap: none t0: [23:00:00 08/11/2011] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: 1663 pv: 125.325 cv: 3074.42 ap: carryForward t0: [23:00:00 08/11/2011] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 30 cv: 933 ap: carryForward t0: [23:00:00 08/11/2011] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: 1663 pv: 125.325 cv: 21932.9 ap: carryForward
t0: [20:00:00 08/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [21:00:00 08/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 9 u1: mmHg st: NotStopd t0: [22:00:00 08/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [23:00:00 08/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd
t0: [00:00:00 09/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 09/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Negative v2: Negative st: NotStopd t0: [00:00:00 09/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [00:00:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 09/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [00:00:00 09/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [00:00:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 09/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 09/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 09/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [00:00:00 09/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [00:00:00 09/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [00:00:00 09/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 09/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [00:00:00 09/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 09/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [00:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5463 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5463 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5463 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 09/11/2011] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [00:00:00 09/11/2011] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [00:00:00 09/11/2011] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [00:00:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [00:00:00 09/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5463 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 09/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 09/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [00:00:00 09/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 09/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 09/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 09/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [00:00:00 09/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 09/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5463 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 09/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 09/11/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 09/11/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 09/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Ins/Exp Wheeze st: NotStopd t0: [00:00:00 09/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Ins/Exp Wheeze st: NotStopd t0: [00:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5463 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 09/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [00:00:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [00:00:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [00:00:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [00:00:00 09/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [00:00:00 09/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [00:00:00 09/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [00:00:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [00:00:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 09/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 09/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 09/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 09/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [00:00:00 09/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 09/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 09/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [00:00:00 09/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 09/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5463 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 09/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [00:00:00 09/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sediment st: NotStopd t0: [00:00:00 09/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [00:00:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 09/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5463 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [00:00:00 09/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [00:00:00 09/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 500 vu: ml t0: [00:00:00 09/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 23.625 vu: ml t0: [00:00:00 09/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [00:00:00 09/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [00:00:00 09/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 20 vu: ml t0: [00:00:00 09/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2.5 vu: ml t0: [00:00:00 09/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 41.7 vu: ml
t0: [00:00:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [00:00:00 09/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 162 rs: Manual st: NotStopd
t0: [00:00:00 09/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: 2827 v1: 20.3704 u1: ml/cmH st: NotStopd t0: [00:00:00 09/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: 2827 v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 09/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: 2827 v1: 15 t0: [00:00:00 09/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: 2827 v1: 0.55 u1: torr st: NotStopd t0: [00:00:00 09/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: 2827 v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 09/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: 2827 v1: 10 u1: BPM st: NotStopd t0: [00:00:00 09/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: 2827 v1: 1:3.2 st: NotStopd t0: [00:00:00 09/11/2011] id: Airway Size el: 0 cu: MICU-A cg: 2827 v1: 8.0 mm st: NotStopd t0: [00:00:00 09/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: 2827 v1: 35 u1: Deg. C st: NotStopd t0: [00:00:00 09/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: 2827 v1: 9 v2: 20 st: NotStopd t0: [00:00:00 09/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: 2827 v1: 6 st: NotStopd t0: [00:00:00 09/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: 2827 v1: 11 u1: cmH2O st: NotStopd t0: [00:00:00 09/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: 2827 v1: 10.9 u1: L/min st: NotStopd t0: [00:00:00 09/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: 2827 v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 09/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: 2827 v1: 20 st: NotStopd t0: [00:00:00 09/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: 2827 v1: 32 u1: cmH2O st: NotStopd t0: [00:00:00 09/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: 2827 v1: 24 u1: cmH2O st: NotStopd t0: [00:00:00 09/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: 2827 v1: 1 u1: BPM st: NotStopd t0: [00:00:00 09/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: 2827 v1: 19 u1: BPM st: NotStopd t0: [00:00:00 09/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: 2827 v1: 18 u1: BPM st: NotStopd t0: [00:00:00 09/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: 2827 v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 09/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: 2827 v1: 595 u1: ml/B st: NotStopd t0: [00:00:00 09/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: 2827 v1: 550 u1: ml/B st: NotStopd t0: [00:00:00 09/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: 2827 v1: Assist Control st: NotStopd t0: [00:00:00 09/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: 2827 v1: Drager st: NotStopd t0: [00:00:00 09/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: 2827 v1: RAMP st: NotStopd
t0: [01:00:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 09/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [01:00:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [01:00:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [01:00:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [01:00:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:00:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [01:00:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [01:00:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 8 u1: BPM st: NotStopd t0: [01:00:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [01:00:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [01:30:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:30:00 09/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [01:30:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:30:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:30:00 09/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [01:30:00 09/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:30:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:30:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [01:30:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [01:30:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [01:30:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:30:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [01:30:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [01:30:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:30:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [01:30:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [01:30:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:30:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:30:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:30:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [02:00:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 09/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [02:00:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [02:00:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 161 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [02:00:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [02:00:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [02:00:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [02:00:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [02:00:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 7 u1: BPM st: NotStopd t0: [02:00:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:55:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:55:00 09/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [02:55:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:55:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:55:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:55:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 106 u1: BPM st: NotStopd t0: [02:55:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [02:55:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [02:55:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [02:55:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [02:55:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [02:55:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:55:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 10 u1: BPM st: NotStopd t0: [02:55:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 09/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [03:00:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [03:00:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [03:00:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [03:00:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:00:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [03:00:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [03:00:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [03:00:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:05:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:05:00 09/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [03:05:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:05:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:05:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:05:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [03:05:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [03:05:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [03:05:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:05:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [03:05:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [03:05:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:05:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [03:05:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [03:05:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [03:10:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:10:00 09/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [03:10:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:10:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:10:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:10:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [03:10:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [03:10:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [03:10:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:10:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [03:10:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [03:10:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:10:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [03:10:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [03:10:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:55:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:55:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:55:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.04 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:05:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:05:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:05:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:10:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:10:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:10:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [00:00:00 09/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [02:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5343 id: Eye Care el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 09/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 09/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 6 u1: points st: NotStopd t0: [03:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5283 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [00:00:00 09/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 09/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 09/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Pain st: NotStopd t0: [00:00:00 09/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [02:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5343 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [00:00:00 09/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 09/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 09/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 09/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5463 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Flexion st: NotStopd t0: [00:00:00 09/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 09/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [01:00:00 09/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [01:00:00 09/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [03:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5283 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [01:00:00 09/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [03:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5283 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [01:00:00 09/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [01:00:00 09/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5403 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [02:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5343 id: BATH el: 0 cu: MICU-A cg: RN v1: done t0: [02:00:00 09/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [02:00:00 09/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [02:00:00 09/11/2011] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 09/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 09/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 09/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 09/11/2011] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 09/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5283 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [02:00:00 09/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 09/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [02:00:00 09/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 09/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 09/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 09/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 09/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5343 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [02:00:00 09/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [02:00:00 09/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [02:00:00 09/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5343 id: WarmingDevice/Status el: 0 cu: MICU-A cg: RN v1: Blanket v2: On st: NotStopd t0: [03:00:00 09/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Changed st: NotStopd t0: [03:00:00 09/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Negative v2: Negative st: NotStopd t0: [03:00:00 09/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [03:00:00 09/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 09/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [03:00:00 09/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [03:00:00 09/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [03:00:00 09/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [03:00:00 09/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [03:00:00 09/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [03:00:00 09/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [03:00:00 09/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [03:00:00 09/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [03:00:00 09/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [03:00:00 09/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [03:00:00 09/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [03:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5283 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [03:00:00 09/11/2011] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 09/11/2011] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [03:00:00 09/11/2011] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [03:00:00 09/11/2011] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [03:00:00 09/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [03:00:00 09/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 09/11/2011] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [03:00:00 09/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [03:00:00 09/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [03:00:00 09/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [03:00:00 09/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [03:00:00 09/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [03:00:00 09/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [03:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5283 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [03:00:00 09/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [03:00:00 09/11/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [03:00:00 09/11/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [03:00:00 09/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 09/11/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [03:00:00 09/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 09/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [03:00:00 09/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [03:00:00 09/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [03:00:00 09/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Ins/Exp Wheeze st: NotStopd t0: [03:00:00 09/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [03:00:00 09/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [03:00:00 09/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [03:00:00 09/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [03:00:00 09/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [03:00:00 09/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [03:00:00 09/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 09/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [03:00:00 09/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5283 id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: Yes st: NotStopd t0: [03:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5283 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: 0.5 cm st: NotStopd t0: [03:00:00 09/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5283 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [03:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5283 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 09/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [03:00:00 09/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [03:00:00 09/11/2011] id: PressSoreWoundBase#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [03:00:00 09/11/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [03:00:00 09/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [03:00:00 09/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [03:00:00 09/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [03:00:00 09/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [03:00:00 09/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [03:00:00 09/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [03:00:00 09/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [03:00:00 09/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [03:00:00 09/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [03:00:00 09/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [03:00:00 09/11/2011] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Flexion st: NotStopd t0: [03:00:00 09/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [03:00:00 09/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [03:00:00 09/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [03:00:00 09/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 09/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 09/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Bright Red Blood st: NotStopd t0: [03:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5283 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [03:00:00 09/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [03:00:00 09/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [03:00:00 09/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sludge st: NotStopd t0: [03:00:00 09/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [03:00:00 09/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [03:00:00 09/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [03:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5283 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [03:00:00 09/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [01:00:00 09/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 23.625 vu: ml t0: [01:00:00 09/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [01:00:00 09/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 7.5 vu: ml t0: [01:00:00 09/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 20 vu: ml t0: [01:00:00 09/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2.5 vu: ml t0: [01:00:00 09/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 41.7 vu: ml t0: [02:00:00 09/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 23.625 vu: ml t0: [02:00:00 09/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [02:00:00 09/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6.25 vu: ml t0: [02:00:00 09/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 50 vu: ml t0: [02:00:00 09/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2.25 vu: ml t0: [02:00:00 09/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 41.7 vu: ml t0: [03:00:00 09/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml t0: [03:00:00 09/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [03:00:00 09/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 09/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 25 vu: ml t0: [03:00:00 09/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [03:00:00 09/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 41.7 vu: ml
t0: [23:00:00 09/11/2011] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: 1663 pv: 4 cv: 4 ap: none t0: [23:00:00 09/11/2011] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: 1663 pv: 53.5 cv: 53.5 ap: none t0: [23:00:00 09/11/2011] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: 1663 pv: 57.5 cv: 2928.85 ap: none t0: [23:00:00 09/11/2011] dt: 24 id: IV Nutrition Total el: 2 cu: MICU-A cg: 1663 cv: 810.6 ap: none t0: [23:00:00 09/11/2011] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: 1663 pv: 57.5 cv: 3899.45 ap: none t0: [23:00:00 09/11/2011] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: 1663 pv: 0 cv: 160 ap: none t0: [23:00:00 09/11/2011] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: 1663 pv: 4 cv: 294 ap: none t0: [23:00:00 09/11/2011] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: 1663 pv: 53.5 cv: 3330.45 ap: none t0: [23:00:00 09/11/2011] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: 1663 pv: 4 cv: 569 ap: none t0: [23:00:00 09/11/2011] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU-A cg: 1663 cv: 250 ap: none t0: [23:00:00 09/11/2011] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: 1663 pv: 53.5 cv: 25283.4 ap: carryForward
t0: [01:00:00 09/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [01:00:00 09/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [01:00:00 09/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 09/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 09/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [03:00:00 09/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [03:00:00 09/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 09/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [03:00:00 09/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [03:00:00 09/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [04:00:00 09/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [04:00:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 09/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [04:00:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 09/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 09/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [04:00:00 09/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:00:00 09/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [04:00:00 09/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [04:00:00 09/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 09/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [04:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5223 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5223 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [04:00:00 09/11/2011] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [04:00:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [04:00:00 09/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [04:00:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [04:00:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:00:00 09/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [04:00:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [04:00:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 09/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 09/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [04:00:00 09/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 09/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 09/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5223 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 09/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [04:00:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 09/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vu: ml nb: 1 t0: [04:00:00 09/11/2011] tf: [15:00:00 09/11/2011] dt: 660 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 22.5 vu: ml t0: [04:00:00 09/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [04:00:00 09/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 09/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 20 vu: ml t0: [04:00:00 09/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [04:00:00 09/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 41.7 vu: ml
t0: [04:00:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: PT el: 0 cu: MICU-A cg: 1663 v1: 12.3 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 34.6 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 31.3 u1: % rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.3 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 34.6 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 45 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.29 u1: /mic l rs: Final st: NotStopd
t0: [20:00:00 08/11/2011] id: Airway Type el: 0 cu: MICU-A cg: 2827 v1: Endotracheal st: NotStopd t0: [00:00:00 09/11/2011] id: Airway Type el: 0 cu: MICU-A cg: 2827 v1: Endotracheal st: NotStopd t0: [04:00:00 09/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: 2827 v1: 18.9655 u1: ml/cmH st: NotStopd t0: [04:00:00 09/11/2011] id: RSBI (<100) el: 0 cu: MICU-A cg: 2827 v1: 81.7121 u1: units st: NotStopd t0: [04:00:00 09/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: 2827 v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 09/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: 2827 v1: 15 t0: [04:00:00 09/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: 2827 v1: 0.55 u1: torr st: NotStopd t0: [04:00:00 09/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: 2827 v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 09/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: 2827 v1: 10 u1: BPM st: NotStopd t0: [04:00:00 09/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: 2827 v1: 1:3.2 st: NotStopd t0: [04:00:00 09/11/2011] id: Airway Size el: 0 cu: MICU-A cg: 2827 v1: 8.0 mm st: NotStopd t0: [04:00:00 09/11/2011] id: Airway Type el: 0 cu: MICU-A cg: 2827 v1: Endotracheal st: NotStopd t0: [04:00:00 09/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: 2827 v1: 35 u1: Deg. C st: NotStopd t0: [04:00:00 09/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: 2827 v1: 9 v2: 20 st: NotStopd t0: [04:00:00 09/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: 2827 v1: 6 st: NotStopd t0: [04:00:00 09/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: 2827 v1: 13 u1: cmH2O st: NotStopd t0: [04:00:00 09/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: 2827 v1: 10.3 u1: L/min st: NotStopd t0: [04:00:00 09/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: 2827 v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 09/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: 2827 v1: 20 st: NotStopd t0: [04:00:00 09/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: 2827 v1: 34 u1: cmH2O st: NotStopd t0: [04:00:00 09/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: 2827 v1: 26 u1: cmH2O st: NotStopd t0: [04:00:00 09/11/2011] id: RSBI (<200) el: 0 cu: MICU-A cg: 2827 v1: 81.7121 u1: units st: NotStopd t0: [04:00:00 09/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: 2827 v1: 0 u1: BPM st: NotStopd t0: [04:00:00 09/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: 2827 v1: 18 u1: BPM st: NotStopd t0: [04:00:00 09/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: 2827 v1: 18 u1: BPM st: NotStopd t0: [04:00:00 09/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: 2827 v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 09/11/2011] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: 2827 v1: 21 u1: BPM st: NotStopd t0: [04:00:00 09/11/2011] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: 2827 v1: 0.257 u1: L st: NotStopd t0: [04:00:00 09/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: 2827 v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 09/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: 2827 v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 09/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: 2827 v1: 582 u1: ml/B st: NotStopd t0: [04:00:00 09/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: 2827 v1: 550 u1: ml/B st: NotStopd t0: [04:00:00 09/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: 2827 v1: Assist Control st: NotStopd t0: [04:00:00 09/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: 2827 v1: Drager st: NotStopd t0: [04:00:00 09/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: 2827 v1: RAMP st: NotStopd
t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: BUN el: 0 cu: MICU-A cg: 1663 v1: 72 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 97 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 146 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.5 u1: mEq/L rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 126 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 36 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 53 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.2 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 270 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Amylase Enzymes el: 0 cu: MICU-A cg: 1663 v1: 57 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 72 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 97 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 146 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 530 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.5 u1: mEq/L rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 126 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 rs: Final st: NotStopd
t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.3 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6.3 rs: Final st: NotStopd
t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 19.2 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 19.2 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Differential-Bands Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 89 rs: Final st: NotStopd t0: [03:34:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5249 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 19.2 rs: Final st: NotStopd
t0: [04:56:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5167 id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.22 rs: Final st: NotStopd t0: [04:56:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5167 id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.7 rs: Final st: NotStopd t0: [04:56:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5167 id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.8 rs: Final st: NotStopd t0: [04:56:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5167 id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -9 rs: Final st: NotStopd t0: [04:56:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5167 id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 19 rs: Final st: NotStopd t0: [04:56:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5167 id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [04:56:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5167 id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 124 u1: mmHg rs: Final st: NotStopd t0: [04:56:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5167 id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.22 rs: Final st: NotStopd t0: [04:56:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5167 id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.24 rs: Final st: NotStopd t0: [04:56:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5167 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.7 rs: Final st: NotStopd t0: [04:56:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5167 id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4.8 rs: Final st: NotStopd t0: [05:00:00 09/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [05:00:00 09/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 09/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 8 u1: mmHg st: NotStopd t0: [05:00:00 09/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [05:00:00 09/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [05:00:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 09/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [05:00:00 09/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [05:00:00 09/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [05:00:00 09/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [05:00:00 09/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [05:00:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 09/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [05:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5163 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [05:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5163 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Feeding st: NotStopd t0: [05:00:00 09/11/2011] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [05:00:00 09/11/2011] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [05:00:00 09/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [05:00:00 09/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 09/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 09/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 09/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [05:00:00 09/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [05:00:00 09/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 141 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [05:00:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [05:00:00 09/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [05:00:00 09/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 09/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [05:00:00 09/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [05:00:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [05:00:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [05:00:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 09/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [05:00:00 09/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [05:00:00 09/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [05:00:00 09/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 09/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [05:00:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [05:00:00 09/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [05:00:00 09/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [05:00:00 09/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [05:00:00 09/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5163 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [05:00:00 09/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [05:00:00 09/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [05:00:00 09/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Sludge st: NotStopd t0: [05:00:00 09/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [05:00:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 09/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 500 vu: ml t0: [05:00:00 09/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 23.625 vu: ml t0: [05:00:00 09/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [05:00:00 09/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 09/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [05:00:00 09/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 41.7 vu: ml
t0: [05:00:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [05:00:00 09/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 65 vu: ml t0: [05:00:00 09/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 30 vu: ml
t0: [06:00:00 09/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [06:00:00 09/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 09/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [06:00:00 09/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 09/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [06:00:00 09/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [06:00:00 09/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [06:00:00 09/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [06:00:00 09/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [06:00:00 09/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [06:00:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 09/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [06:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5103 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [06:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5103 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [06:00:00 09/11/2011] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [06:00:00 09/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [06:00:00 09/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 09/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 09/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 09/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [06:00:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [06:00:00 09/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [06:00:00 09/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 09/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [06:00:00 09/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [06:00:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [06:00:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [06:00:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 09/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 09/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [06:00:00 09/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [06:00:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 5 u1: BPM st: NotStopd t0: [06:00:00 09/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 09/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 09/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 09/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5103 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [06:00:00 09/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [06:00:00 09/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [06:00:00 09/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [06:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5103 id: WarmingDevice/Status el: 0 cu: MICU-A cg: RN v1: Blanket v2: On st: NotStopd t0: [06:00:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 09/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [06:00:00 09/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 23.625 vu: ml t0: [06:00:00 09/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [06:00:00 09/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 09/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 20 vu: ml t0: [06:00:00 09/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [06:00:00 09/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 41.7 vu: ml
t0: [06:00:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [06:00:00 09/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [06:00:00 09/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [06:00:00 09/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [06:00:00 09/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [06:00:00 09/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [06:00:00 09/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [06:00:00 09/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [06:00:00 09/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [06:00:00 09/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [06:00:00 09/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [06:00:00 09/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [06:00:00 09/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [06:00:00 09/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [06:00:00 09/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [06:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 5103 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Flexion st: NotStopd t0: [06:00:00 09/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 09/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 09/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 171 rs: Manual st: NotStopd
t0: [22:00:00 08/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 20 vu: ml t0: [23:00:00 08/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 20 vu: ml t0: [00:00:00 09/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 30 vu: ml t0: [00:00:00 09/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 20 vu: ml t0: [01:00:00 09/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 20 vu: ml t0: [02:00:00 09/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 20 vu: ml t0: [03:00:00 09/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 20 vu: ml t0: [04:00:00 09/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 60 vu: ml t0: [04:00:00 09/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 20 vu: ml t0: [05:00:00 09/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 20 vu: ml t0: [06:00:00 09/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 80 vu: ml t0: [06:00:00 09/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 20 vu: ml
t0: [06:00:00 09/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd
t0: [07:00:00 09/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: 2827 v1: 0.5 u1: torr st: NotStopd
t0: [07:00:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 09/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 5 u1: mmHg st: NotStopd t0: [07:00:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 09/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [07:00:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [07:00:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [07:00:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [07:00:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [07:00:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [07:00:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [07:00:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [07:00:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 09/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 23.6 vu: ml t0: [07:00:00 09/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [07:00:00 09/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [07:00:00 09/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 10 vu: ml t0: [07:00:00 09/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 10 vu: ml t0: [07:00:00 09/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [07:00:00 09/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 41.7 vu: ml
t0: [07:00:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 09/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 6 u1: mmHg st: NotStopd t0: [08:00:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [08:00:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:00:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [08:00:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [08:00:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [08:00:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [08:00:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 09/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 23.625 vu: ml t0: [08:00:00 09/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [08:00:00 09/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [08:00:00 09/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 10 vu: ml t0: [08:00:00 09/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 10 vu: ml t0: [08:00:00 09/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [08:00:00 09/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 41.7 vu: ml
t0: [08:00:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.07 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 09/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 09/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [08:00:00 09/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [08:00:00 09/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Incr Visibility st: NotStopd t0: [08:00:00 09/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 09/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [08:00:00 09/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 09/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 09/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 09/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4983 id: Education Barrier el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [08:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4983 id: Education Handout el: 0 cu: MICU-A cg: RN v1: Altered LOC st: NotStopd t0: [08:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4983 id: Education Method el: 0 cu: MICU-A cg: RN v1: Not Given st: NotStopd t0: [08:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4983 id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Explanation st: NotStopd t0: [08:00:00 09/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 09/11/2011] id: Education Readiness el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4983 id: Education Response el: 0 cu: MICU-A cg: RN v1: No Understanding st: NotStopd t0: [08:00:00 09/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: ICU Environment st: NotStopd t0: [08:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4983 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 09/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 09/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 09/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4983 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4983 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 09/11/2011] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 09/11/2011] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [08:00:00 09/11/2011] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [08:00:00 09/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [08:00:00 09/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4983 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 09/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [08:00:00 09/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 09/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [08:00:00 09/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4983 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 09/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 09/11/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 09/11/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 09/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 09/11/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [08:00:00 09/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 09/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 09/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 09/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 09/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4983 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 09/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 09/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [08:00:00 09/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4983 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 09/11/2011] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 09/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 09/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4983 id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: Yes st: NotStopd t0: [08:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4983 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: 0.5 cm st: NotStopd t0: [08:00:00 09/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Sanguinous v2: Scant st: NotStopd t0: [08:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4983 id: PressSore Wth/Lth #1 el: 0 cu: MICU-A cg: RN v1: 3 cm v2: 3 cm st: NotStopd t0: [08:00:00 09/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [08:00:00 09/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [08:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4983 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [08:00:00 09/11/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [08:00:00 09/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 09/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [08:00:00 09/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 09/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 09/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 09/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 09/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 09/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4983 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Flexion st: NotStopd t0: [08:00:00 09/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 09/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: BehaviorSubsided st: NotStopd t0: [08:00:00 09/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 09/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 09/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [08:00:00 09/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 09/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [08:00:00 09/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [08:00:00 09/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4983 id: WarmingDevice/Status el: 0 cu: MICU-A cg: RN v1: Blanket v2: On st: NotStopd t0: [08:00:00 09/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [08:00:00 09/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 09/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 09/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 09/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 09/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 09/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 09/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd t0: [08:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4983 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [08:00:00 09/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [09:00:00 09/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 16.6667 u1: ml/cmH st: NotStopd t0: [09:00:00 09/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [09:00:00 09/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 15 t0: [09:00:00 09/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [09:00:00 09/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [09:00:00 09/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [09:00:00 09/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.2 st: NotStopd t0: [09:00:00 09/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [09:00:00 09/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [09:00:00 09/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [09:00:00 09/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [09:00:00 09/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [09:00:00 09/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [09:00:00 09/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10 u1: L/min st: NotStopd t0: [09:00:00 09/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:00:00 09/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [09:00:00 09/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 38 u1: cmH2O st: NotStopd t0: [09:00:00 09/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [09:00:00 09/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [09:00:00 09/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [09:00:00 09/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [09:00:00 09/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [09:00:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 98 u1: % st: NotStopd t0: [09:00:00 09/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 09/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [09:00:00 09/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [09:00:00 09/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [09:00:00 09/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [09:00:00 09/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [09:00:00 09/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 09/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 09/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 09/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:00:00 09/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 09/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [08:00:00 09/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [09:00:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 09/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [09:00:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 09/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [09:00:00 09/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [09:00:00 09/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [09:00:00 09/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [09:00:00 09/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [09:00:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 87 u1: mmHg st: NotStopd t0: [09:00:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:00:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [09:00:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [09:00:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 09/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 7 u1: mmHg st: NotStopd t0: [10:00:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 09/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [10:00:00 09/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:00:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 100 u1: BPM st: NotStopd t0: [10:00:00 09/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:00:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 80 u1: mmHg st: NotStopd t0: [10:00:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:00:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [10:00:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [10:00:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 09/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 100 vu: ml t0: [08:00:00 09/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 160 vu: ml t0: [09:00:00 09/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 23.625 vu: ml t0: [09:00:00 09/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [09:00:00 09/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 09/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 15 vu: ml t0: [09:00:00 09/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [09:00:00 09/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 41.7 vu: ml t0: [10:00:00 09/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 300 vu: ml t0: [10:00:00 09/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 23.625 vu: ml t0: [10:00:00 09/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [10:00:00 09/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 09/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 10 vu: ml t0: [10:00:00 09/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [10:00:00 09/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 41.7 vu: ml
t0: [09:00:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [11:00:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 09/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [11:00:00 09/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [11:00:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 109 u1: BPM st: NotStopd t0: [11:00:00 09/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 168 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [11:00:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [11:00:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [11:00:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [11:00:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [11:00:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 09/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 23.625 vu: ml t0: [11:00:00 09/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [11:00:00 09/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 09/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 10 vu: ml t0: [11:00:00 09/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [11:00:00 09/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 41.7 vu: ml
t0: [11:00:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4983 id: Education Learner el: 0 cu: MICU-A cg: RN v1: Patient st: NotStopd t0: [11:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4803 id: Education Barrier el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [11:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4803 id: Education Handout el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4803 id: Education Learner el: 0 cu: MICU-A cg: RN v1: Not Given st: NotStopd t0: [11:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4803 id: Education Method el: 0 cu: MICU-A cg: RN v1: Sig Othr/Family st: NotStopd t0: [11:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4803 id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Explanation st: NotStopd t0: [11:00:00 09/11/2011] id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4803 id: Education Response el: 0 cu: MICU-A cg: RN v1: Understands st: NotStopd t0: [11:00:00 09/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [11:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4803 id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [11:00:00 09/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [11:00:00 09/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [11:00:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 09/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 09/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [11:00:00 09/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4803 id: Spiritual Support el: 0 cu: MICU-A cg: RN v1: Clergy Notified st: NotStopd t0: [11:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4803 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd
t0: [09:00:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 09/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 20.3704 u1: ml/cmH st: NotStopd t0: [12:00:00 09/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 09/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 15 t0: [12:00:00 09/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 09/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 09/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 09/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.2 st: NotStopd t0: [12:00:00 09/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 09/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 09/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 35.6 u1: Deg. C st: NotStopd t0: [12:00:00 09/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [12:00:00 09/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [12:00:00 09/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [12:00:00 09/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 12.5 u1: L/min st: NotStopd t0: [12:00:00 09/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 09/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [12:00:00 09/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [12:00:00 09/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [12:00:00 09/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 4 u1: BPM st: NotStopd t0: [12:00:00 09/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [12:00:00 09/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [12:00:00 09/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [12:00:00 09/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 09/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 09/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 519 u1: ml/B st: NotStopd t0: [12:00:00 09/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [12:00:00 09/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 09/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [12:00:00 09/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 09/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 09/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Positive st: NotStopd t0: [12:00:00 09/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [12:00:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 09/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [12:00:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 09/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 09/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 09/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 09/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 09/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [12:00:00 09/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [12:00:00 09/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 09/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 09/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 09/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4743 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4743 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 09/11/2011] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [12:00:00 09/11/2011] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [12:00:00 09/11/2011] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [12:00:00 09/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [12:00:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 120 u1: BPM st: NotStopd t0: [12:00:00 09/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 09/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 09/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 09/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 09/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 09/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 09/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [12:00:00 09/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 09/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 09/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [12:00:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 174 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [12:00:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg st: NotStopd t0: [12:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4743 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [12:00:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [12:00:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [12:00:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 09/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [12:00:00 09/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 09/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 09/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 09/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 09/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 09/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4743 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Flexion st: NotStopd t0: [12:00:00 09/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 09/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 09/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [12:00:00 09/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [12:00:00 09/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [12:00:00 09/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [12:00:00 09/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 09/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [12:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4743 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [12:00:00 09/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd t0: [13:00:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 09/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [13:00:00 09/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [13:00:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 118 u1: BPM st: NotStopd t0: [13:00:00 09/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [13:00:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [13:00:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [13:00:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [13:00:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [13:00:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 09/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml t0: [10:00:00 09/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml t0: [11:00:00 09/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml t0: [12:00:00 09/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [12:00:00 09/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.875 vu: ml t0: [12:00:00 09/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [12:00:00 09/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 09/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml t0: [12:00:00 09/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 10 vu: ml t0: [12:00:00 09/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [12:00:00 09/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 41.7 vu: ml t0: [13:00:00 09/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 250 vu: ml t0: [13:00:00 09/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 5 vu: ml
t0: [12:00:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [14:00:00 09/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 18.3333 u1: ml/cmH st: NotStopd t0: [14:00:00 09/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [14:00:00 09/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 16 t0: [14:00:00 09/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [14:00:00 09/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [14:00:00 09/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [14:00:00 09/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.8 st: NotStopd t0: [14:00:00 09/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [14:00:00 09/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [14:00:00 09/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 35.5 u1: Deg. C st: NotStopd t0: [14:00:00 09/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [14:00:00 09/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [14:00:00 09/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [14:00:00 09/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.4 u1: L/min st: NotStopd t0: [14:00:00 09/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [14:00:00 09/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [14:00:00 09/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [14:00:00 09/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [14:00:00 09/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [14:00:00 09/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [14:00:00 09/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [14:00:00 09/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [14:00:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 97 u1: % st: NotStopd t0: [14:00:00 09/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [14:00:00 09/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [14:00:00 09/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 564 u1: ml/B st: NotStopd t0: [14:00:00 09/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [14:00:00 09/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [14:00:00 09/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [14:00:00 09/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
id: Normal Saline_GU el: 2 cu: MICU-A cg: RN io: Normal Saline_GU GU Irrigant du: cc rt: GU
t0: [12:00:00 09/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [12:00:00 09/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 09/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [14:00:00 09/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [14:00:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 119 u1: BPM st: NotStopd t0: [14:00:00 09/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 157 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [14:00:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [14:00:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [14:00:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [14:00:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [14:00:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 09/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [15:00:00 09/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [15:00:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 117 u1: BPM st: NotStopd t0: [15:00:00 09/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [15:00:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [15:00:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [15:00:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [15:00:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [15:00:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:00:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 09/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 09/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 09/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 09/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RN v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 09/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:00:00 09/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:00:00 09/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [16:00:00 09/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 119 u1: BPM st: NotStopd t0: [16:00:00 09/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 09/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RN v1: 8.0 mm st: NotStopd t0: [16:00:00 09/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RN v1: Endotracheal st: NotStopd t0: [16:00:00 09/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [16:00:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [16:00:00 09/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [16:00:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:00:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [16:00:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [16:00:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 09/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 09/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 09/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 09/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [16:00:00 09/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [16:00:00 09/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: Drager st: NotStopd t0: [16:00:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4743 id: Normal Saline_GU GU Irrigant el: 2 cu: MICU-A cg: RN ai: 591 vo: 20 vu: ml t0: [16:00:00 09/11/2011] tf: [17:00:00 09/11/2011] dt: 60 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 6.75 vu: ml t0: [13:00:00 09/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [13:00:00 09/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 09/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml t0: [13:00:00 09/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [13:00:00 09/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 41.7 vu: ml t0: [14:00:00 09/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 6.75 vu: ml t0: [14:00:00 09/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [14:00:00 09/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 09/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 20 vu: ml t0: [14:00:00 09/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [14:00:00 09/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 41.7 vu: ml t0: [15:00:00 09/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml t0: [15:00:00 09/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [15:00:00 09/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 09/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml t0: [15:00:00 09/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 5 vu: ml t0: [15:00:00 09/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [15:00:00 09/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 41.7 vu: ml t0: [16:00:00 09/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 6.75 vu: ml t0: [16:00:00 09/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [16:00:00 09/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 09/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml t0: [16:00:00 09/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 135 vu: ml t0: [16:00:00 09/11/2011] id: Stool Out Stool el: 1 cu: MICU-A cg: RN vo: 25 vu: ml t0: [16:00:00 09/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 5 vu: ml t0: [16:00:00 09/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [16:00:00 09/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 41.7 vu: ml
t0: [14:00:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 09/11/2011] dt: 24 id: Stool Out Total el: 2 cu: MICU-A cg: 1663 cv: 25 ap: none
t0: [17:00:00 09/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 22 u1: ml/cmH st: NotStopd t0: [17:00:00 09/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [17:00:00 09/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 16 t0: [17:00:00 09/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 09/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [17:00:00 09/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:00:00 09/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.8 st: NotStopd t0: [17:00:00 09/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [17:00:00 09/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 09/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 35.5 u1: Deg. C st: NotStopd t0: [17:00:00 09/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [17:00:00 09/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [17:00:00 09/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 09/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.6 u1: L/min st: NotStopd t0: [17:00:00 09/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 09/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [17:00:00 09/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [17:00:00 09/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [17:00:00 09/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [17:00:00 09/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [17:00:00 09/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [17:00:00 09/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [17:00:00 09/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [17:00:00 09/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [17:00:00 09/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 532 u1: ml/B st: NotStopd t0: [17:00:00 09/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [17:00:00 09/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [17:00:00 09/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [17:00:00 09/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 09/11/2011] id: Less Restrict Meas. el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 09/11/2011] id: Range of Motion el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 09/11/2011] id: Circulation/SkinInt el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 09/11/2011] id: Position Change el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 09/11/2011] id: Reason For Restraint el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 09/11/2011] id: Removed x 5 Mins el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 09/11/2011] id: Restraint Type el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [17:00:00 09/11/2011] id: Restraints Evaluated el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [10:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4863 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 09/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 09/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 09/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [10:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4863 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 09/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [10:00:00 09/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [10:00:00 09/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [10:00:00 09/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 09/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 09/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 09/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 09/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 09/11/2011] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 09/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [12:00:00 09/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 09/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 09/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [12:00:00 09/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4743 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 09/11/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 09/11/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 09/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 09/11/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4743 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 09/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 09/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 09/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [12:00:00 09/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [12:00:00 09/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [12:00:00 09/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 09/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 152 rs: Manual st: NotStopd t0: [14:00:00 09/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 09/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 09/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [14:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4623 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 09/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 09/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [14:00:00 09/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 09/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Changed st: NotStopd t0: [16:00:00 09/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 09/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [16:00:00 09/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [16:00:00 09/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 09/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 09/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 09/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: Education Barrier el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: Education Handout el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: Education Learner el: 0 cu: MICU-A cg: RN v1: Not Given st: NotStopd t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: Education Method el: 0 cu: MICU-A cg: RN v1: Sig Othr/Family st: NotStopd t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Explanation st: NotStopd t0: [16:00:00 09/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 09/11/2011] id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: Education Response el: 0 cu: MICU-A cg: RN v1: Understands st: NotStopd t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [16:00:00 09/11/2011] id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: Activity st: NotStopd t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: Family Communication el: 0 cu: MICU-A cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 09/11/2011] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 09/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 09/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 09/11/2011] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [16:00:00 09/11/2011] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [16:00:00 09/11/2011] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [16:00:00 09/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [16:00:00 09/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 09/11/2011] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 09/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [16:00:00 09/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 09/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 09/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [16:00:00 09/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 09/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 09/11/2011] id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 09/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 09/11/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [16:00:00 09/11/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 09/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 09/11/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 09/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [16:00:00 09/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 09/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 09/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 09/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 09/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [16:00:00 09/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 09/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 09/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [16:00:00 09/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 09/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [16:00:00 09/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 09/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: 0.5 cm st: NotStopd t0: [16:00:00 09/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Sanguinous v2: Scant st: NotStopd t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: PressSore Wth/Lth #1 el: 0 cu: MICU-A cg: RN v1: 3 cm v2: 3 cm st: NotStopd t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 09/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [16:00:00 09/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [16:00:00 09/11/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [16:00:00 09/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 09/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 09/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 09/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 09/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 09/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Flexion st: NotStopd t0: [16:00:00 09/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 09/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: Spiritual Support el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 09/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [16:00:00 09/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 09/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 09/11/2011] id: Spiritual Support el: 0 cu: MICU-A cg: RN v1: Clergy Visited st: NotStopd t0: [16:00:00 09/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 09/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [16:00:00 09/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 09/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [16:00:00 09/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [16:00:00 09/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 09/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 09/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [16:00:00 09/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 09/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 09/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 09/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 09/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 09/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [16:00:00 09/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd t0: [16:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4503 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [16:00:00 09/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd t0: [17:00:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 09/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [17:00:00 09/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [17:00:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 117 u1: BPM st: NotStopd t0: [17:00:00 09/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [17:00:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [17:00:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [17:00:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [17:00:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [17:00:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:00:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 09/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [17:00:00 09/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml t0: [17:00:00 09/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [17:00:00 09/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 09/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml t0: [17:00:00 09/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 5 vu: ml t0: [17:00:00 09/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [17:00:00 09/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 41.7 vu: ml
t0: [15:00:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [18:00:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 09/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [18:00:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 114 u1: BPM st: NotStopd t0: [18:00:00 09/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [18:00:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [18:00:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [18:00:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [18:00:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [18:00:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 09/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 167 rs: Manual st: NotStopd t0: [19:00:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [19:00:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 113 u1: BPM st: NotStopd t0: [19:00:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [19:00:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [19:00:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [19:00:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [19:00:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [19:00:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [19:00:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 09/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml t0: [18:00:00 09/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [18:00:00 09/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 09/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml t0: [18:00:00 09/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 5 vu: ml t0: [18:00:00 09/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [18:00:00 09/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 15 vu: ml t0: [19:00:00 09/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 5 vu: ml t0: [19:00:00 09/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 15 vu: ml
t0: [18:00:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 09/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 09/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [20:00:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 09/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [20:00:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [20:00:00 09/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 09/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 09/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 09/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 09/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [20:00:00 09/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [20:00:00 09/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [20:00:00 09/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 09/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [20:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4263 id: Family Communication el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 09/11/2011] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [20:00:00 09/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 09/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [20:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4263 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4263 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [20:00:00 09/11/2011] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [20:00:00 09/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [20:00:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 112 u1: BPM st: NotStopd t0: [20:00:00 09/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 09/11/2011] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 09/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [20:00:00 09/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 09/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [20:00:00 09/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4263 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 09/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 09/11/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 09/11/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 09/11/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 09/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 09/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [20:00:00 09/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 09/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 09/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [20:00:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [20:00:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [20:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4263 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4263 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [20:00:00 09/11/2011] id: PresSoreStage/Heal#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: Unchanged st: NotStopd t0: [20:00:00 09/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Serosanguinous v2: Scant st: NotStopd t0: [20:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4263 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [20:00:00 09/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [20:00:00 09/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [20:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4263 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [20:00:00 09/11/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [20:00:00 09/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [20:00:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [20:00:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 09/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 09/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 09/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 09/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4263 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: No Response st: NotStopd t0: [20:00:00 09/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 09/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 09/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [20:00:00 09/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 09/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Cool v2: Dry st: NotStopd t0: [20:00:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 09/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4263 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 09/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 09/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [20:00:00 09/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [20:00:00 09/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [20:00:00 09/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [20:00:00 09/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 09/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [20:00:00 09/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 09/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [20:00:00 09/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 09/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 09/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [20:00:00 09/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 8 u1: number st: NotStopd t0: [20:00:00 09/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd t0: [20:00:00 09/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [20:00:00 09/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 150 vu: ml t0: [20:00:00 09/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 0 vu: ml t0: [20:00:00 09/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 20 vu: ml t0: [20:00:00 09/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 09/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml t0: [20:00:00 09/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml t0: [20:00:00 09/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 15 vu: ml
t0: [20:00:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.02 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 09/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 35 vu: ml
t0: [20:00:00 09/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: 2827 v1: 19.6429 u1: ml/cmH st: NotStopd t0: [20:00:00 09/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: 2827 v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 09/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: 2827 v1: 16 t0: [20:00:00 09/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: 2827 v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 09/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: 2827 v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 09/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: 2827 v1: 10 u1: BPM st: NotStopd t0: [20:00:00 09/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: 2827 v1: 1:3.8 st: NotStopd t0: [20:00:00 09/11/2011] id: Airway Size el: 0 cu: MICU-A cg: 2827 v1: 8.0 mm st: NotStopd t0: [20:00:00 09/11/2011] id: Airway Type el: 0 cu: MICU-A cg: 2827 v1: Endotracheal st: NotStopd t0: [20:00:00 09/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: 2827 v1: 35.2 u1: Deg. C st: NotStopd t0: [20:00:00 09/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: 2827 v1: 9 v2: 20 st: NotStopd t0: [20:00:00 09/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: 2827 v1: 6 st: NotStopd t0: [20:00:00 09/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: 2827 v1: 11 u1: cmH2O st: NotStopd t0: [20:00:00 09/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: 2827 v1: 10.1 u1: L/min st: NotStopd t0: [20:00:00 09/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: 2827 v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 09/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: 2827 v1: 20 st: NotStopd t0: [20:00:00 09/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: 2827 v1: 33 u1: cmH2O st: NotStopd t0: [20:00:00 09/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: 2827 v1: 29 u1: cmH2O st: NotStopd t0: [20:00:00 09/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: 2827 v1: 0 u1: BPM st: NotStopd t0: [20:00:00 09/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: 2827 v1: 18 u1: BPM st: NotStopd t0: [20:00:00 09/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: 2827 v1: 18 u1: BPM st: NotStopd t0: [20:00:00 09/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: 2827 v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 09/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: 2827 v1: 588 u1: ml/B st: NotStopd t0: [20:00:00 09/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: 2827 v1: 550 u1: ml/B st: NotStopd t0: [20:00:00 09/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: 2827 v1: Assist Control st: NotStopd t0: [20:00:00 09/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: 2827 v1: Drager st: NotStopd t0: [20:00:00 09/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: 2827 v1: RAMP st: NotStopd
t0: [21:00:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [21:00:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 09/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 09/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 114 u1: BPM st: NotStopd t0: [21:00:00 09/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [21:00:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 63 u1: mmHg st: NotStopd t0: [21:00:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [21:00:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [21:00:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [21:00:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [21:00:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [21:00:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 09/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 150 vu: ml t0: [21:00:00 09/11/2011] tf: [19:03:00 12/11/2011] dt: 4203 id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 6.75 vu: ml t0: [21:00:00 09/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [21:00:00 09/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 09/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml t0: [21:00:00 09/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [21:00:00 09/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [21:00:00 09/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: -1 vo: 15 vu: ml
t0: [21:00:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.06 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 09/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 09/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 09/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 09/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 09/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [20:00:00 09/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 09/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [20:00:00 09/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [22:00:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [22:00:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 09/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 09/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 09/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 117 u1: BPM st: NotStopd t0: [22:00:00 09/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 09/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 09/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 09/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [22:00:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [22:00:00 09/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [22:00:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:00:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [22:00:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [22:00:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [22:00:00 09/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [22:00:00 09/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [22:00:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 09/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [22:00:00 09/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 20.25 vu: ml t0: [22:00:00 09/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [22:00:00 09/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 09/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml t0: [22:00:00 09/11/2011] tf: [06:00:00 10/11/2011] dt: 480 id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 5 vu: ml t0: [22:00:00 09/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [22:00:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 09/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 09/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [23:00:00 09/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 09/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 09/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 09/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 09/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 117 u1: BPM st: NotStopd t0: [23:00:00 09/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 09/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [23:00:00 09/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [23:00:00 09/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [23:00:00 09/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [23:00:00 09/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [23:00:00 09/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 09/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 09/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [23:00:00 09/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 09/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 40.5 vu: ml t0: [23:00:00 09/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [23:00:00 09/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 09/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml t0: [23:00:00 09/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 4 vu: ml t0: [23:00:00 09/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [23:00:00 09/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 09/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 09/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [00:00:00 10/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [00:00:00 10/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 10/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [00:00:00 10/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [00:00:00 10/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [00:00:00 10/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 10/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 10/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 10/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 10/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 10/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 10/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 10/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 10/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 4023 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 4023 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [00:00:00 10/11/2011] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [00:00:00 10/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [00:00:00 10/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 118 u1: BPM st: NotStopd t0: [00:00:00 10/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 10/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 10/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 10/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [00:00:00 10/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 10/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [00:00:00 10/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [00:00:00 10/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [00:00:00 10/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [00:00:00 10/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [00:00:00 10/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [00:00:00 10/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 10/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 10/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [00:00:00 10/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 10/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 10/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 10/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [00:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 4023 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: No Response st: NotStopd t0: [00:00:00 10/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [00:00:00 10/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 10/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [00:00:00 10/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [00:00:00 10/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 10/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 10/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 54 vu: ml t0: [00:00:00 10/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [00:00:00 10/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 10/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml t0: [00:00:00 10/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 215 vu: ml t0: [00:00:00 10/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [00:00:00 10/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 10/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.16 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 10/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 10/11/2011] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU-A cg: RN cv: 795 ap: none
t0: [00:00:00 10/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 10/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [00:00:00 10/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [00:00:00 10/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 120 rs: Manual st: NotStopd
t0: [00:00:00 10/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: 2827 v1: 22 u1: ml/cmH st: NotStopd t0: [00:00:00 10/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: 2827 v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 10/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: 2827 v1: 16 t0: [00:00:00 10/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: 2827 v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 10/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: 2827 v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 10/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: 2827 v1: 10 u1: BPM st: NotStopd t0: [00:00:00 10/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: 2827 v1: 1:3.8 st: NotStopd t0: [00:00:00 10/11/2011] id: Airway Size el: 0 cu: MICU-A cg: 2827 v1: 8.0 mm st: NotStopd t0: [00:00:00 10/11/2011] id: Airway Type el: 0 cu: MICU-A cg: 2827 v1: Endotracheal st: NotStopd t0: [00:00:00 10/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: 2827 v1: 35.3 u1: Deg. C st: NotStopd t0: [00:00:00 10/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: 2827 v1: 9 v2: 20 st: NotStopd t0: [00:00:00 10/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: 2827 v1: 6 st: NotStopd t0: [00:00:00 10/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: 2827 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 10/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: 2827 v1: 11.1 u1: L/min st: NotStopd t0: [00:00:00 10/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: 2827 v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 10/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: 2827 v1: 20 st: NotStopd t0: [00:00:00 10/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: 2827 v1: 30 u1: cmH2O st: NotStopd t0: [00:00:00 10/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: 2827 v1: 0 u1: BPM st: NotStopd t0: [00:00:00 10/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: 2827 v1: 18 u1: BPM st: NotStopd t0: [00:00:00 10/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: 2827 v1: 18 u1: BPM st: NotStopd t0: [00:00:00 10/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: 2827 v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 10/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: 2827 v1: 595 u1: ml/B st: NotStopd t0: [00:00:00 10/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: 2827 v1: 550 u1: ml/B st: NotStopd t0: [00:00:00 10/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: 2827 v1: Assist Control st: NotStopd t0: [00:00:00 10/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: 2827 v1: Drager st: NotStopd t0: [00:00:00 10/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: 2827 v1: RAMP st: NotStopd
t0: [00:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 4023 id: BATH el: 0 cu: MICU-A cg: RN v1: done t0: [00:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 4023 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 10/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 10/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 10/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 4023 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 10/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 10/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 10/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 10/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 10/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [00:00:00 10/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 10/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:00:00 10/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 10/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [01:00:00 10/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 10/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [01:00:00 10/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [01:00:00 10/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 10/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 116 u1: BPM st: NotStopd t0: [01:00:00 10/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 10/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [01:00:00 10/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [01:00:00 10/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:00:00 10/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [01:00:00 10/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [01:00:00 10/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 10/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [01:00:00 10/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [01:00:00 10/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 10/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 10/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [02:00:00 10/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 10/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 10/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 10/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 10/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 111 u1: BPM st: NotStopd t0: [02:00:00 10/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 10/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [02:00:00 10/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [02:00:00 10/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [02:00:00 10/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [02:00:00 10/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [02:00:00 10/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 10/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [02:00:00 10/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [02:00:00 10/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 10/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 94.5 vu: ml t0: [02:00:00 10/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 20 vu: ml t0: [02:00:00 10/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 10/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml t0: [02:00:00 10/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 7 vu: ml t0: [02:00:00 10/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml
t0: [01:00:00 10/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 10/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 10/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 10/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 10/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 10/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 10/11/2011] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 10/11/2011] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 15 ap: none t0: [23:00:00 10/11/2011] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 870 ap: none
t0: [03:00:00 10/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 10/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [03:00:00 10/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 10/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [03:00:00 10/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [03:00:00 10/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 10/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 107 u1: BPM st: NotStopd t0: [03:00:00 10/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 10/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [03:00:00 10/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 62 u1: mmHg st: NotStopd t0: [03:00:00 10/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:00:00 10/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [03:00:00 10/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [03:00:00 10/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 10/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [03:00:00 10/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 10/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 10/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [03:00:00 10/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [03:00:00 10/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 10/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml t0: [03:00:00 10/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [03:00:00 10/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 10/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 10/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 10/11/2011] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 107.5 cv: 107.5 ap: none t0: [23:00:00 10/11/2011] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 107.5 cv: 2303.25 ap: none t0: [23:00:00 10/11/2011] dt: 24 id: IV Nutrition Total el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 10/11/2011] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 107.5 cv: 2303.25 ap: none t0: [23:00:00 10/11/2011] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 10/11/2011] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 107.5 cv: 1433.25 ap: none t0: [23:00:00 10/11/2011] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 107.5 cv: 26716.6 ap: carryForward
t0: [04:00:00 10/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 95 rs: Manual st: NotStopd
t0: [04:10:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3773 id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.14 rs: Final st: NotStopd t0: [04:10:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3773 id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.1 rs: Final st: NotStopd t0: [04:10:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3773 id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -13 rs: Final st: NotStopd t0: [04:10:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3773 id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [04:10:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3773 id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [04:10:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3773 id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 94 u1: mmHg rs: Final st: NotStopd t0: [04:10:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3773 id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.14 rs: Final st: NotStopd t0: [04:10:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3773 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.1 rs: Final st: NotStopd
t0: [04:00:00 10/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: 2827 v1: 23.913 u1: ml/cmH st: NotStopd t0: [04:00:00 10/11/2011] id: RSBI (<100) el: 0 cu: MICU-A cg: 2827 v1: 122.549 u1: units st: NotStopd t0: [04:00:00 10/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: 2827 v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 10/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: 2827 v1: 16 t0: [04:00:00 10/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: 2827 v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 10/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: 2827 v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 10/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: 2827 v1: 10 u1: BPM st: NotStopd t0: [04:00:00 10/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: 2827 v1: 1:3.8 st: NotStopd t0: [04:00:00 10/11/2011] id: Airway Size el: 0 cu: MICU-A cg: 2827 v1: 8.0 mm st: NotStopd t0: [04:00:00 10/11/2011] id: Airway Type el: 0 cu: MICU-A cg: 2827 v1: Endotracheal st: NotStopd t0: [04:00:00 10/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: 2827 v1: 35.6 u1: Deg. C st: NotStopd t0: [04:00:00 10/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: 2827 v1: 9 v2: 20 st: NotStopd t0: [04:00:00 10/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: 2827 v1: 6 st: NotStopd t0: [04:00:00 10/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: 2827 v1: 11 u1: cmH2O st: NotStopd t0: [04:00:00 10/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: 2827 v1: 10.9 u1: L/min st: NotStopd t0: [04:00:00 10/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: 2827 v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 10/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: 2827 v1: 20 st: NotStopd t0: [04:00:00 10/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: 2827 v1: 28 u1: cmH2O st: NotStopd t0: [04:00:00 10/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: 2827 v1: 24 u1: cmH2O st: NotStopd t0: [04:00:00 10/11/2011] id: RSBI (<200) el: 0 cu: MICU-A cg: 2827 v1: 122.549 u1: units st: NotStopd t0: [04:00:00 10/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: 2827 v1: 0 u1: BPM st: NotStopd t0: [04:00:00 10/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: 2827 v1: 18 u1: BPM st: NotStopd t0: [04:00:00 10/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: 2827 v1: 18 u1: BPM st: NotStopd t0: [04:00:00 10/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: 2827 v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 10/11/2011] id: SpO2 el: 0 cu: MICU-A cg: 2827 v1: 95 u1: % st: NotStopd t0: [04:00:00 10/11/2011] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: 2827 v1: 25 u1: BPM st: NotStopd t0: [04:00:00 10/11/2011] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: 2827 v1: 0.204 u1: L st: NotStopd t0: [04:00:00 10/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: 2827 v1: Yellow st: NotStopd t0: [04:00:00 10/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: 2827 v1: Suctioned v2: Scant st: NotStopd t0: [04:00:00 10/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: 2827 v1: 595 u1: ml/B st: NotStopd t0: [04:00:00 10/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: 2827 v1: 550 u1: ml/B st: NotStopd t0: [04:00:00 10/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: 2827 v1: Assist Control st: NotStopd t0: [04:00:00 10/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: 2827 v1: Drager st: NotStopd t0: [04:00:00 10/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: 2827 v1: RAMP st: NotStopd
t0: [00:00:00 10/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Unarousable st: NotStopd t0: [03:00:00 10/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [03:00:00 10/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 10/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 10/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 10/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [03:00:00 10/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 10/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [03:00:00 10/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 10/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [04:00:00 10/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 10/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [04:00:00 10/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [04:00:00 10/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Unarousable st: NotStopd t0: [04:00:00 10/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [04:00:00 10/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 10/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 10/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [04:00:00 10/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [04:00:00 10/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 10/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 10/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 10/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 10/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [04:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3783 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3783 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [04:00:00 10/11/2011] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [04:00:00 10/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [04:00:00 10/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 106 u1: BPM st: NotStopd t0: [04:00:00 10/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 10/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 10/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 10/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [04:00:00 10/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 10/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [04:00:00 10/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [04:00:00 10/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 59 u1: mmHg st: NotStopd t0: [04:00:00 10/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:00:00 10/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [04:00:00 10/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [04:00:00 10/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 10/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 10/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 10/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 10/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 10/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 10/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 10/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3783 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Sternal Rub v2: No Response st: NotStopd t0: [04:00:00 10/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 10/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 10/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [04:00:00 10/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [04:00:00 10/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [04:00:00 10/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 10/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 10/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 67.5 vu: ml t0: [05:00:00 10/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 20 vu: ml t0: [05:00:00 10/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 10/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml t0: [05:00:00 10/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml
t0: [04:00:00 10/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 10/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 10/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [06:00:00 10/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [06:00:00 10/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 10/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 10/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 10/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [06:00:00 10/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 10/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [06:00:00 10/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd
t0: [06:00:00 10/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [06:00:00 10/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [06:00:00 10/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 10/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml t0: [06:00:00 10/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 280 vu: ml t0: [06:00:00 10/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [06:00:00 10/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [05:00:00 10/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 10/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [05:00:00 10/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 10/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 10/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 10/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 10/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [05:00:00 10/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 10/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [05:00:00 10/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 58 u1: mmHg st: NotStopd t0: [05:00:00 10/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [05:00:00 10/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [05:00:00 10/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [05:00:00 10/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 10/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [05:00:00 10/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [05:00:00 10/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 10/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 10/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [06:00:00 10/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 10/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [06:00:00 10/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [06:00:00 10/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 10/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 106 u1: BPM st: NotStopd t0: [06:00:00 10/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 10/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [06:00:00 10/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 60 u1: mmHg st: NotStopd t0: [06:00:00 10/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [06:00:00 10/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [06:00:00 10/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [06:00:00 10/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 10/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [06:00:00 10/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 10/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 10/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 10/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 10/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 10/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 10/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 10/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [07:00:00 10/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 10/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [07:00:00 10/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 10/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [07:00:00 10/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [07:00:00 10/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 10/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 105 u1: BPM st: NotStopd t0: [07:00:00 10/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 10/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [07:00:00 10/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [07:00:00 10/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [07:00:00 10/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [07:00:00 10/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [07:00:00 10/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 10/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [07:00:00 10/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [07:00:00 10/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 10/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 10/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 10/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [07:00:00 10/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [07:00:00 10/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [07:00:00 10/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 16 t0: [07:00:00 10/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [07:00:00 10/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [07:00:00 10/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [07:00:00 10/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [07:00:00 10/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [07:00:00 10/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [07:00:00 10/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [07:00:00 10/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [07:00:00 10/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [07:00:00 10/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.6 u1: L/min st: NotStopd t0: [07:00:00 10/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:00:00 10/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [07:00:00 10/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [07:00:00 10/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [07:00:00 10/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 1 u1: BPM st: NotStopd t0: [07:00:00 10/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [07:00:00 10/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [07:00:00 10/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [07:00:00 10/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [07:00:00 10/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [07:00:00 10/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 578 u1: ml/B st: NotStopd t0: [07:00:00 10/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [07:00:00 10/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [07:00:00 10/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [07:00:00 10/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 10/11/2011] id: TPN 1600.0ml IV Infusions el: 1 cu: MICU-A cg: -1 ai: -1 vo: 0 st: D/C'd
t0: [08:00:00 10/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 10/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 10/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [08:00:00 10/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 10/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 10/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [08:00:00 10/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [08:00:00 10/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Unarousable st: NotStopd t0: [08:00:00 10/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3543 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [08:00:00 10/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 10/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 10/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 10/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [08:00:00 10/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [08:00:00 10/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [08:00:00 10/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 10/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [08:00:00 10/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 10/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 10/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [08:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3543 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3543 id: Family Communication el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 10/11/2011] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [08:00:00 10/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 10/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [08:00:00 10/11/2011] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [08:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3543 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3543 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 10/11/2011] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 10/11/2011] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [08:00:00 10/11/2011] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [08:00:00 10/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [08:00:00 10/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 10/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 108 u1: BPM st: NotStopd t0: [08:00:00 10/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3543 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 10/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 10/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [08:00:00 10/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 10/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 10/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 10/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [08:00:00 10/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 10/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3543 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 10/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 10/11/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 10/11/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 10/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 10/11/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 10/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [08:00:00 10/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 10/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [08:00:00 10/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 10/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [08:00:00 10/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [08:00:00 10/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3543 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 10/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [08:00:00 10/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [08:00:00 10/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 10/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [08:00:00 10/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 10/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [08:00:00 10/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 10/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Total Lift st: NotStopd t0: [08:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3543 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [08:00:00 10/11/2011] id: PresSoreStage/Heal#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: No st: NotStopd t0: [08:00:00 10/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Serosanguinous v2: Small st: NotStopd t0: [08:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3543 id: PressSore Wth/Lth #1 el: 0 cu: MICU-A cg: RN v1: 3 cm v2: 3 cm st: NotStopd t0: [08:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3543 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [08:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3543 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 10/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [08:00:00 10/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [08:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3543 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [08:00:00 10/11/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [08:00:00 10/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 10/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [08:00:00 10/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [08:00:00 10/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 10/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [08:00:00 10/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 10/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 10/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [08:00:00 10/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 10/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Rhonchi st: NotStopd t0: [08:00:00 10/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 10/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3543 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Sternal Rub v2: No Response st: NotStopd t0: [08:00:00 10/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 10/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 10/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [08:00:00 10/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 10/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 10/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 10/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 10/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Green v2: Thick st: NotStopd t0: [08:00:00 10/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3543 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 10/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 10/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [08:00:00 10/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [08:00:00 10/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [08:00:00 10/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 10/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 10/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [08:00:00 10/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 10/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3543 id: Behavior el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [08:00:00 10/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [08:00:00 10/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 10/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [08:00:00 10/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 10/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [08:00:00 10/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 10/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 8 u1: number st: NotStopd t0: [08:00:00 10/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd t0: [08:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3543 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [08:00:00 10/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [08:00:00 10/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 74.25 vu: ml t0: [08:00:00 10/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 20 vu: ml t0: [08:00:00 10/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 10/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml t0: [08:00:00 10/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 200 vu: ml t0: [08:00:00 10/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml
t0: [08:00:00 10/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 10/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 10/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 10/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [09:00:00 10/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 10/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [09:00:00 10/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [09:00:00 10/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 10/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 10/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 10/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 10/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 108 u1: BPM st: NotStopd t0: [09:00:00 10/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 10/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [09:00:00 10/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 61 u1: mmHg st: NotStopd t0: [09:00:00 10/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:00:00 10/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [09:00:00 10/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [09:00:00 10/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 10/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 10/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 10/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [09:10:00 10/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:10:00 10/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [09:10:00 10/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [09:10:00 10/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN st: NotStopd t0: [09:10:00 10/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:10:00 10/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:10:00 10/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:10:00 10/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:10:00 10/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 106 u1: BPM st: NotStopd t0: [09:10:00 10/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [09:10:00 10/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [09:10:00 10/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [09:10:00 10/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:10:00 10/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [09:10:00 10/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [09:10:00 10/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:10:00 10/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:10:00 10/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [09:10:00 10/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3543 id: Gastric Nasogastric el: 1 cu: MICU-A cg: RN vo: 60 vu: ml t0: [08:30:00 10/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 300 vu: ml t0: [09:00:00 10/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 100 vu: ml t0: [09:00:00 10/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 40.5 vu: ml t0: [09:00:00 10/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [09:00:00 10/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 10/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml t0: [09:00:00 10/11/2011] tf: [09:00:00 11/11/2011] dt: 1440 id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 8 vu: ml t0: [09:00:00 10/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [09:00:00 10/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 10/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 10/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:10:00 10/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:10:00 10/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:10:00 10/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 10/11/2011] dt: 24 id: Gastric Out Total el: 2 cu: MICU-A cg: RN cv: 60 ap: none
t0: [10:00:00 10/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 10/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [10:00:00 10/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [10:00:00 10/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Unarousable st: NotStopd t0: [10:00:00 10/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 10/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Rare st: NotStopd t0: [10:00:00 10/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [10:00:00 10/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 10/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 108 u1: BPM st: NotStopd t0: [10:00:00 10/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 10/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN st: NotStopd t0: [10:00:00 10/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN st: NotStopd t0: [10:00:00 10/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [10:00:00 10/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [10:00:00 10/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:00:00 10/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [10:00:00 10/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [10:00:00 10/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 10/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 10/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 10/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 10/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [10:00:00 10/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 40.5 vu: ml t0: [10:00:00 10/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [10:00:00 10/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 10/11/2011] id: Criticare HN Tube Feeding el: 1 cu: MICU-A cg: RN ai: 498 vo: 0 vu: ml t0: [10:00:00 10/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [10:00:00 10/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 10/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 10/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [11:00:00 10/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 20.3704 u1: ml/cmH st: NotStopd t0: [11:00:00 10/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [11:00:00 10/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 16 t0: [11:00:00 10/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:00:00 10/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [11:00:00 10/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [11:00:00 10/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [11:00:00 10/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [11:00:00 10/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [11:00:00 10/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [11:00:00 10/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [11:00:00 10/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [11:00:00 10/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.4 u1: L/min st: NotStopd t0: [11:00:00 10/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:00:00 10/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [11:00:00 10/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [11:00:00 10/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [11:00:00 10/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [11:00:00 10/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [11:00:00 10/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [11:00:00 10/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [11:00:00 10/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [11:00:00 10/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [11:00:00 10/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [11:00:00 10/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 570 u1: ml/B st: NotStopd t0: [11:00:00 10/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [11:00:00 10/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [11:00:00 10/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [11:00:00 10/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [11:00:00 10/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 10/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 14 u1: mmHg st: NotStopd t0: [11:00:00 10/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [11:00:00 10/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 10/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [11:00:00 10/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [11:00:00 10/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 10/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 106 u1: BPM st: NotStopd t0: [11:00:00 10/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 10/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [11:00:00 10/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 68 u1: mmHg st: NotStopd t0: [11:00:00 10/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [11:00:00 10/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [11:00:00 10/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [11:00:00 10/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 10/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:00:00 10/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 10/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 40.5 vu: ml t0: [11:00:00 10/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [11:00:00 10/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 10/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [11:00:00 10/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 10/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 10/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: PT el: 0 cu: MICU-A cg: 1663 v1: 12.2 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 38.4 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 0.9 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 12.2 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 38.4 rs: Final st: NotStopd
t0: [11:33:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3330 id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.18 rs: Final st: NotStopd t0: [11:33:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3330 id: Lactic Acid Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.4 rs: Final st: NotStopd t0: [11:33:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3330 id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: -12 rs: Final st: NotStopd t0: [11:33:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3330 id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 16 rs: Final st: NotStopd t0: [11:33:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3330 id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [11:33:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3330 id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 95 u1: mmHg rs: Final st: NotStopd t0: [11:33:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3330 id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.18 rs: Final st: NotStopd t0: [11:33:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3330 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.4 rs: Final st: NotStopd
t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: BUN el: 0 cu: MICU-A cg: 1663 v1: 79 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 92 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.9 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 78 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.4 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 92 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.4 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 360 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Amylase Enzymes el: 0 cu: MICU-A cg: 1663 v1: 65 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 79 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 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: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 92 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.9 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 78 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 725 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.4 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5.4 rs: Final st: NotStopd
t0: [12:00:00 10/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 10/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 10/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [12:00:00 10/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 10/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 10/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [12:00:00 10/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [12:00:00 10/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [12:00:00 10/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Unarousable st: NotStopd t0: [12:00:00 10/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [12:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3303 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [12:00:00 10/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 10/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 10/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 10/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 10/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3303 id: Education Barrier el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 10/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [12:00:00 10/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3303 id: Education Handout el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [12:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3303 id: Education Learner el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3303 id: Education Method el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [12:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3303 id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Sig Othr/Family st: NotStopd t0: [12:00:00 10/11/2011] id: Education Method el: 0 cu: MICU-A cg: RN v1: Explanation st: NotStopd t0: [12:00:00 10/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 10/11/2011] id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 10/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3303 id: Education Response el: 0 cu: MICU-A cg: RN v1: Understands st: NotStopd t0: [12:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3303 id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [12:00:00 10/11/2011] id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3303 id: Family Communication el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 10/11/2011] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 10/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 10/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [12:00:00 10/11/2011] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [12:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3303 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3303 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [12:00:00 10/11/2011] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Dark Red Blood st: NotStopd t0: [12:00:00 10/11/2011] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [12:00:00 10/11/2011] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [12:00:00 10/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [12:00:00 10/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 107 u1: BPM st: NotStopd t0: [12:00:00 10/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3303 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 10/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 10/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [12:00:00 10/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 10/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 10/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 10/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [12:00:00 10/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 10/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [12:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3303 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 10/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 10/11/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 10/11/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 10/11/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 10/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 10/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 10/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 10/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 10/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [12:00:00 10/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3303 id: Nursing Consultation el: 0 cu: MICU-A cg: RN v1: Social Services st: NotStopd t0: [12:00:00 10/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [12:00:00 10/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [12:00:00 10/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [12:00:00 10/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 10/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [12:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3303 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 10/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [12:00:00 10/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [12:00:00 10/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [12:00:00 10/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 10/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [12:00:00 10/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [12:00:00 10/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 10/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [12:00:00 10/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 10/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 10/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 10/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 10/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 10/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 10/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3303 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: No Response st: NotStopd t0: [12:00:00 10/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 10/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 10/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 10/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3303 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 10/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [12:00:00 10/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [12:00:00 10/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [12:00:00 10/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [12:00:00 10/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 10/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3303 id: Behavior el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [12:00:00 10/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 104 rs: Manual st: NotStopd t0: [12:00:00 10/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [12:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3303 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [12:00:00 10/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [12:00:00 10/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 40.5 vu: ml t0: [12:00:00 10/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [12:00:00 10/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 10/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [12:00:00 10/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 10/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 10/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.7 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.7 rs: Final st: NotStopd
t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.4 u1: mEq/L rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 41 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.4 u1: mEq/L rs: Final st: NotStopd
tf: [12:00:00 11/11/2011] pt: Unit Dose rt: IV fr: ONCE fs: 13 dn: 1 m1: Sodium Bicarbonate v1: 100 u1: mEq
t0: [11:14:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3349 id: BUN el: 0 cu: MICU-A cg: 1663 v1: 79 rs: Final st: NotStopd t0: [11:14:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3349 id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 92 rs: Final st: NotStopd t0: [11:14:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3349 id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [11:14:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3349 id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 77 rs: Final st: NotStopd t0: [11:14:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3349 id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [11:14:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3349 id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 124 rs: Final st: NotStopd t0: [11:14:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3349 id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 79 rs: Final st: NotStopd t0: [11:14:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3349 id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 15 rs: Final st: NotStopd t0: [11:14:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3349 id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 92 rs: Final st: NotStopd t0: [11:14:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3349 id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [11:14:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3349 id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 77 rs: Final st: NotStopd t0: [11:14:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3349 id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [11:14:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3349 id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 124 rs: Final st: NotStopd
t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 122 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 15 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 122 rs: Final st: NotStopd
t0: [13:00:00 10/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 10/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 14 u1: mmHg st: NotStopd t0: [13:00:00 10/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [13:00:00 10/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 10/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 10/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 10/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 10/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 106 u1: BPM st: NotStopd t0: [13:00:00 10/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 10/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [13:00:00 10/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 65 u1: mmHg st: NotStopd t0: [13:00:00 10/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [13:00:00 10/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [13:00:00 10/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [13:00:00 10/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 10/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 10/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [13:00:00 10/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 10/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 40.5 vu: ml t0: [13:00:00 10/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [13:00:00 10/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 10/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [13:00:00 10/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 10/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 10/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Differential-Bands Hematology el: 0 cu: MICU-A cg: 1663 v1: 12 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 1 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 79 rs: Final st: NotStopd
t0: [14:00:00 10/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 10/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [14:00:00 10/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [14:00:00 10/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Unarousable st: NotStopd t0: [14:00:00 10/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 10/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 10/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 10/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3183 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 10/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 10/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [14:00:00 10/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 10/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 10/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [14:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3183 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 10/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 10/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [14:00:00 10/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 66 u1: mmHg st: NotStopd t0: [14:00:00 10/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [14:00:00 10/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: Total Lift st: NotStopd t0: [14:00:00 10/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [14:00:00 10/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [14:00:00 10/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [14:00:00 10/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 10/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 10/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 10/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [14:00:00 10/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Yellow v2: Thick st: NotStopd t0: [14:00:00 10/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [14:00:00 10/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [14:00:00 10/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 10/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 10/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 10/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 40.5 vu: ml t0: [14:00:00 10/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [14:00:00 10/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 10/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [14:00:00 10/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 10/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 10/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 33.7 u1: % rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 10.6 u1: gm/dl rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 39 rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.46 u1: /mic l rs: Final st: NotStopd t0: [03:50:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3793 id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 22 rs: Final st: NotStopd
tf: [14:00:00 12/11/2011] pt: Unit Dose rt: IV fr: Q8H fs: 15, 23, 7 dn: 3 m1: Sodium Bicarbonate v1: 100 u1: mEq
t0: [15:00:00 10/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 10/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [15:00:00 10/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [15:00:00 10/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 10/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 10/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 10/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 10/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 102 u1: BPM st: NotStopd t0: [15:00:00 10/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 10/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:00:00 10/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [15:00:00 10/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [15:00:00 10/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [15:00:00 10/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [15:00:00 10/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 10/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:00:00 10/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [15:00:00 10/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 10/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 40.5 vu: ml t0: [15:00:00 10/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [15:00:00 10/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 10/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [15:00:00 10/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 10/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 10/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [16:00:00 10/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 10/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 10/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [16:00:00 10/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 10/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 10/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [16:00:00 10/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [16:00:00 10/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [16:00:00 10/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Unarousable st: NotStopd t0: [16:00:00 10/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [16:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3063 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [16:00:00 10/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 10/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 10/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 10/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 10/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 10/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [16:00:00 10/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 10/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [16:00:00 10/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 10/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 10/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [16:00:00 10/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 10/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 10/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [16:00:00 10/11/2011] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [16:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3063 id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3063 id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [16:00:00 10/11/2011] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [16:00:00 10/11/2011] id: GU Cath Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 20 st: NotStopd t0: [16:00:00 10/11/2011] id: GU Catheter Size el: 0 cu: MICU-A cg: RN v1: 18 French st: NotStopd t0: [16:00:00 10/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [16:00:00 10/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 104 u1: BPM st: NotStopd t0: [16:00:00 10/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3063 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 10/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 10/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [16:00:00 10/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 10/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 10/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 10/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [16:00:00 10/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 10/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [16:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3063 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 10/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 10/11/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [16:00:00 10/11/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 10/11/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 10/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 10/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 10/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 10/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 10/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [16:00:00 10/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 10/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [16:00:00 10/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [16:00:00 10/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [16:00:00 10/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 10/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 69 u1: mmHg st: NotStopd t0: [16:00:00 10/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:00:00 10/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [16:00:00 10/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [16:00:00 10/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 10/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [16:00:00 10/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [16:00:00 10/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 10/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [16:00:00 10/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 10/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 10/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 10/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 10/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 10/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 10/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3063 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: No Response st: NotStopd t0: [16:00:00 10/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 10/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 10/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [16:00:00 10/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 10/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 10/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [16:00:00 10/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3063 id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 10/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Axillary st: NotStopd t0: [16:00:00 10/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [16:00:00 10/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [16:00:00 10/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [16:00:00 10/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 10/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3063 id: Behavior el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [16:00:00 10/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [16:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 3063 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [16:00:00 10/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serous st: NotStopd
t0: [16:00:00 10/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 100 vu: ml t0: [16:00:00 10/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 40.5 vu: ml t0: [16:00:00 10/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [16:00:00 10/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 10/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 100 vu: ml t0: [16:00:00 10/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [16:00:00 10/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 10/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 10/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [17:00:00 10/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 10/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [17:00:00 10/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [17:00:00 10/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 10/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 10/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 10/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 10/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [17:00:00 10/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 10/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:00:00 10/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [17:00:00 10/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [17:00:00 10/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [17:00:00 10/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [17:00:00 10/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 10/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:00:00 10/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [17:00:00 10/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 10/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 40.5 vu: ml t0: [17:00:00 10/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [17:00:00 10/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 10/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [17:00:00 10/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 10/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 10/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [17:00:00 10/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 22.9167 u1: ml/cmH st: NotStopd t0: [17:00:00 10/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [17:00:00 10/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 16 t0: [17:00:00 10/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 10/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [17:00:00 10/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:00:00 10/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [17:00:00 10/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 10/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [17:00:00 10/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [17:00:00 10/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [17:00:00 10/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 10/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.3 u1: L/min st: NotStopd t0: [17:00:00 10/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 10/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [17:00:00 10/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [17:00:00 10/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [17:00:00 10/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [17:00:00 10/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [17:00:00 10/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [17:00:00 10/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:00:00 10/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 585 u1: ml/B st: NotStopd t0: [17:00:00 10/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [17:00:00 10/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [17:00:00 10/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [17:00:00 10/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [18:00:00 10/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 10/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [18:00:00 10/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [18:00:00 10/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Unarousable st: NotStopd t0: [18:00:00 10/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 10/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 10/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 10/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 10/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 102 u1: BPM st: NotStopd t0: [18:00:00 10/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 10/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [18:00:00 10/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [18:00:00 10/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [18:00:00 10/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [18:00:00 10/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [18:00:00 10/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 10/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 10/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 10/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 10/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 96 rs: Manual st: NotStopd
t0: [18:00:00 10/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 40.5 vu: ml t0: [18:00:00 10/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [18:00:00 10/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 10/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [18:00:00 10/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 10/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 10/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [19:00:00 10/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 10/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 12 u1: mmHg st: NotStopd t0: [19:00:00 10/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [19:00:00 10/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 10/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 10/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [19:00:00 10/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [19:00:00 10/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [19:00:00 10/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [19:00:00 10/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [19:00:00 10/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [19:00:00 10/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 10/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [19:00:00 10/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 10/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 10/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 10/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 10/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [20:00:00 10/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 10/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Other st: NotStopd t0: [20:00:00 10/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 10/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 13 u1: mmHg st: NotStopd t0: [20:00:00 10/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [20:00:00 10/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [20:00:00 10/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Unarousable st: NotStopd t0: [20:00:00 10/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [20:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 2823 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [20:00:00 10/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 10/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 10/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 10/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 10/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 10/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [20:00:00 10/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [20:00:00 10/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 10/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 10/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 10/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [20:00:00 10/11/2011] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [20:00:00 10/11/2011] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 10/11/2011] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 10/11/2011] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [20:00:00 10/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [20:00:00 10/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 10/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 97 u1: BPM st: NotStopd t0: [20:00:00 10/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 2823 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 10/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [20:00:00 10/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 10/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [20:00:00 10/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [20:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 2823 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 10/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 10/11/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 10/11/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 10/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 10/11/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [20:00:00 10/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 10/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 10/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [20:00:00 10/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 10/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [20:00:00 10/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [20:00:00 10/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 10/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [20:00:00 10/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 10/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [20:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 2823 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 10/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 10/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 10/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [20:00:00 10/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [20:00:00 10/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [20:00:00 10/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 10/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [20:00:00 10/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [20:00:00 10/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 10/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [20:00:00 10/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 10/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 10/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 10/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 10/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [20:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 2823 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v2: No Response st: NotStopd t0: [20:00:00 10/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 10/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 10/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [20:00:00 10/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 10/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Clammy st: NotStopd t0: [20:00:00 10/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 10/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 10/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 10/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [20:00:00 10/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [20:00:00 10/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: Airbed/Kinair st: NotStopd t0: [20:00:00 10/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 10/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [20:00:00 10/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 10/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 2823 id: Behavior el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [20:00:00 10/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [20:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 2823 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [20:00:00 10/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [20:00:00 10/11/2011] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 0 vu: ml t0: [20:00:00 10/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 10/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 81 vu: ml t0: [20:00:00 10/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 20 vu: ml t0: [20:00:00 10/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 10/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 4 vu: ml
t0: [19:00:00 10/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 10/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 10/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 10/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 10/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 10/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 10/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: 2827 v1: 22 u1: ml/cmH st: NotStopd t0: [20:00:00 10/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: 2827 v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 10/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: 2827 v1: 16 t0: [20:00:00 10/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: 2827 v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 10/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: 2827 v1: 45 u1: cmH2O st: NotStopd t0: [20:00:00 10/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: 2827 v1: 10 u1: BPM st: NotStopd t0: [20:00:00 10/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: 2827 v1: 1:3.8 st: NotStopd t0: [20:00:00 10/11/2011] id: Airway Size el: 0 cu: MICU-A cg: 2827 v1: 8.0 mm st: NotStopd t0: [20:00:00 10/11/2011] id: Airway Type el: 0 cu: MICU-A cg: 2827 v1: Endotracheal st: NotStopd t0: [20:00:00 10/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: 2827 v1: 35 u1: Deg. C st: NotStopd t0: [20:00:00 10/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: 2827 v1: 9 v2: 20 st: NotStopd t0: [20:00:00 10/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: 2827 v1: 6 st: NotStopd t0: [20:00:00 10/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: 2827 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 10/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: 2827 v1: 10.4 u1: L/min st: NotStopd t0: [20:00:00 10/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: 2827 v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 10/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: 2827 v1: 20 st: NotStopd t0: [20:00:00 10/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: 2827 v1: 30 u1: cmH2O st: NotStopd t0: [20:00:00 10/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: 2827 v1: 27 u1: cmH2O st: NotStopd t0: [20:00:00 10/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: 2827 v1: 0 u1: BPM st: NotStopd t0: [20:00:00 10/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: 2827 v1: 18 u1: BPM st: NotStopd t0: [20:00:00 10/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: 2827 v1: 18 u1: BPM st: NotStopd t0: [20:00:00 10/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: 2827 v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 10/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: 2827 v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 10/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: 2827 v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 10/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: 2827 v1: 578 u1: ml/B st: NotStopd t0: [20:00:00 10/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: 2827 v1: 550 u1: ml/B st: NotStopd t0: [20:00:00 10/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: 2827 v1: Assist Control st: NotStopd t0: [20:00:00 10/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: 2827 v1: Drager st: NotStopd t0: [20:00:00 10/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: 2827 v1: RAMP st: NotStopd
t0: [21:00:00 10/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 10/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [21:00:00 10/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [21:00:00 10/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 10/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 10/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 10/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 10/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [21:00:00 10/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 10/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [21:00:00 10/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [21:00:00 10/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [21:00:00 10/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [21:00:00 10/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [21:00:00 10/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 10/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:00:00 10/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 10/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 10/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 10/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 14 u1: mmHg st: NotStopd t0: [22:00:00 10/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [22:00:00 10/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 10/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 10/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 10/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 10/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [22:00:00 10/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 10/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:00:00 10/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [22:00:00 10/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:00:00 10/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [22:00:00 10/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [22:00:00 10/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 10/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [22:00:00 10/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 10/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 10/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 300 vu: ml t0: [22:00:00 10/11/2011] tf: [23:00:00 10/11/2011] dt: 60 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [21:00:00 10/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 40.5 vu: ml t0: [21:00:00 10/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [21:00:00 10/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 10/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [22:00:00 10/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 10/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 40.5 vu: ml t0: [22:00:00 10/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [22:00:00 10/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 10/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [21:00:00 10/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 10/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 10/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 10/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 10/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 10/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
tf: [14:00:00 12/11/2011] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Norepinephrine v1: 8 u1: mg m2: D5W v2: 250 u2: ml
t0: [00:00:00 11/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 114 rs: Manual st: NotStopd
t0: [20:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 2823 id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [21:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 2763 id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: No st: NotStopd t0: [21:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 2763 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: 0.5 cm st: NotStopd t0: [21:00:00 10/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Serosanguinous v2: Scant st: NotStopd t0: [21:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 2763 id: PressSore Wth/Lth #1 el: 0 cu: MICU-A cg: RN v1: 3 cm v2: 3 cm st: NotStopd t0: [21:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 2763 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [21:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 2763 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [21:00:00 10/11/2011] tf: [19:03:00 12/11/2011] dt: 2763 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [00:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2583 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [23:00:00 10/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 10/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [23:00:00 10/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 10/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 10/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 10/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 10/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [23:00:00 10/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 10/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [23:00:00 10/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [23:00:00 10/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [23:00:00 10/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [23:00:00 10/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [23:00:00 10/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 10/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [23:00:00 10/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 10/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 11/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 11/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 11/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [00:00:00 11/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Other st: NotStopd t0: [00:00:00 11/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 11/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 15 u1: mmHg st: NotStopd t0: [00:00:00 11/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [00:00:00 11/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [00:00:00 11/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Unarousable st: NotStopd t0: [00:00:00 11/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [00:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2583 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [00:00:00 11/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 11/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 11/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 11/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 11/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 11/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 11/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [00:00:00 11/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 11/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [00:00:00 11/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 11/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 11/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 11/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 11/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 11/11/2011] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 11/11/2011] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [00:00:00 11/11/2011] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction st: NotStopd t0: [00:00:00 11/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [00:00:00 11/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 11/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [00:00:00 11/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2583 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 11/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 11/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [00:00:00 11/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 11/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 11/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 11/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [00:00:00 11/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 11/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [00:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2583 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 11/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 11/11/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 11/11/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 11/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 11/11/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 11/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [00:00:00 11/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 11/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 11/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 11/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 11/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [00:00:00 11/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 11/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [00:00:00 11/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [00:00:00 11/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 11/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [00:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2583 id: Pain Management el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 11/11/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [00:00:00 11/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [00:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2583 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 11/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 11/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 11/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [00:00:00 11/11/2011] id: PresSoreStage/Heal#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: No st: NotStopd t0: [00:00:00 11/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [00:00:00 11/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [00:00:00 11/11/2011] id: PressSoreWoundBase#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [00:00:00 11/11/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [00:00:00 11/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 11/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [00:00:00 11/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [00:00:00 11/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 11/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [00:00:00 11/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 11/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 11/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 11/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 11/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 11/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 11/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [00:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2583 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v2: No Response st: NotStopd t0: [00:00:00 11/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 11/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 11/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [00:00:00 11/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 11/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Clammy st: NotStopd t0: [00:00:00 11/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 11/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 11/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 11/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [00:00:00 11/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [00:00:00 11/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [00:00:00 11/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 11/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [00:00:00 11/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 11/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 11/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [00:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2583 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [00:00:00 11/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [23:00:00 10/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [00:00:00 11/11/2011] tf: [15:00:00 12/11/2011] dt: 2340 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [23:00:00 10/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 40.5 vu: ml t0: [23:00:00 10/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [23:00:00 10/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [23:00:00 10/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [00:00:00 11/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 11/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 40.5 vu: ml t0: [00:00:00 11/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [00:00:00 11/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 11/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [23:00:00 10/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 10/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 10/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 11/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 11/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 11/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [00:00:00 11/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: 2827 v1: 22.9167 u1: ml/cmH st: NotStopd t0: [00:00:00 11/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: 2827 v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 11/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: 2827 v1: 16 t0: [00:00:00 11/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: 2827 v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 11/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: 2827 v1: 45 u1: cmH2O st: NotStopd t0: [00:00:00 11/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: 2827 v1: 10 u1: BPM st: NotStopd t0: [00:00:00 11/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: 2827 v1: 1:3.8 st: NotStopd t0: [00:00:00 11/11/2011] id: Airway Size el: 0 cu: MICU-A cg: 2827 v1: 8.0 mm st: NotStopd t0: [00:00:00 11/11/2011] id: Airway Type el: 0 cu: MICU-A cg: 2827 v1: Endotracheal st: NotStopd t0: [00:00:00 11/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: 2827 v1: 35.3 u1: Deg. C st: NotStopd t0: [00:00:00 11/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: 2827 v1: 9 v2: 20 st: NotStopd t0: [00:00:00 11/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: 2827 v1: 6 st: NotStopd t0: [00:00:00 11/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: 2827 v1: 14 u1: cmH2O st: NotStopd t0: [00:00:00 11/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: 2827 v1: 10.4 u1: L/min st: NotStopd t0: [00:00:00 11/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: 2827 v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 11/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: 2827 v1: 20 st: NotStopd t0: [00:00:00 11/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: 2827 v1: 29 u1: cmH2O st: NotStopd t0: [00:00:00 11/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: 2827 v1: 27 u1: cmH2O st: NotStopd t0: [00:00:00 11/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: 2827 v1: 0 u1: BPM st: NotStopd t0: [00:00:00 11/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: 2827 v1: 18 u1: BPM st: NotStopd t0: [00:00:00 11/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: 2827 v1: 18 u1: BPM st: NotStopd t0: [00:00:00 11/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: 2827 v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 11/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: 2827 v1: Blood Tinged v2: Thick st: NotStopd t0: [00:00:00 11/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: 2827 v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 11/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: 2827 v1: 574 u1: ml/B st: NotStopd t0: [00:00:00 11/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: 2827 v1: 550 u1: ml/B st: NotStopd t0: [00:00:00 11/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: 2827 v1: Assist Control st: NotStopd t0: [00:00:00 11/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: 2827 v1: Drager st: NotStopd t0: [00:00:00 11/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: 2827 v1: RAMP st: NotStopd
t0: [01:00:00 11/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 11/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [01:00:00 11/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 11/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 11/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [01:00:00 11/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [01:00:00 11/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [01:00:00 11/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:00:00 11/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [01:00:00 11/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [01:00:00 11/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 11/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [01:00:00 11/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 11/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 11/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 11/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 11/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [01:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2523 id: BATH el: 0 cu: MICU-A cg: RN v1: Done t0: [01:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2523 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2523 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:00:00 11/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [01:00:00 11/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [01:00:00 11/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 11/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 11/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 11/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 11/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [02:00:00 11/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 11/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 11/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 11/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 11/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [02:00:00 11/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 11/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [02:00:00 11/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [02:00:00 11/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [02:00:00 11/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [02:00:00 11/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [02:00:00 11/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 11/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [02:00:00 11/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [02:00:00 11/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 11/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 11/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 40.5 vu: ml t0: [01:00:00 11/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [01:00:00 11/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [01:00:00 11/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [02:00:00 11/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 11/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 40.5 vu: ml t0: [02:00:00 11/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [02:00:00 11/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [02:00:00 11/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 4 vu: ml t0: [02:00:00 11/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [02:00:00 11/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 11/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 11/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 11/11/2011] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 11/11/2011] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 61.75 cv: 61.75 ap: none t0: [23:00:00 11/11/2011] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 61.75 cv: 2619.25 ap: none t0: [23:00:00 11/11/2011] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 61.75 cv: 2619.25 ap: none t0: [23:00:00 11/11/2011] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 39 ap: none t0: [23:00:00 11/11/2011] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 61.75 cv: 1780.25 ap: none t0: [23:00:00 11/11/2011] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 839 ap: none t0: [23:00:00 11/11/2011] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 61.75 cv: 28496.9 ap: carryForward
t0: [03:00:00 11/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 11/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [03:00:00 11/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 11/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 11/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 11/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 11/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [03:00:00 11/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 11/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [03:00:00 11/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [03:00:00 11/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:00:00 11/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [03:00:00 11/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [03:00:00 11/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 11/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [03:00:00 11/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [03:00:00 11/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 11/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 11/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [04:00:00 11/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 11/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 11/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 11/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 11/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [04:00:00 11/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 11/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [04:00:00 11/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [04:00:00 11/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:00:00 11/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [04:00:00 11/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [04:00:00 11/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 11/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [04:00:00 11/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [04:00:00 11/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 11/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 11/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 11/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 11/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 11/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 11/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [04:00:00 11/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 11/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [04:00:00 11/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [04:00:00 11/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Other st: NotStopd t0: [04:00:00 11/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 14 u1: mmHg st: NotStopd t0: [04:00:00 11/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [04:00:00 11/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Unarousable st: NotStopd t0: [04:00:00 11/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [04:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2343 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [04:00:00 11/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 11/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 11/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 11/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [04:00:00 11/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 11/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [04:00:00 11/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 11/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 11/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 11/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [04:00:00 11/11/2011] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 11/11/2011] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [04:00:00 11/11/2011] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Intermittent v2: Dark Red Blood st: NotStopd t0: [04:00:00 11/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [04:00:00 11/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2343 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 11/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 11/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [04:00:00 11/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 11/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 11/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [04:00:00 11/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [04:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2343 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 11/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 11/11/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 11/11/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 11/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 11/11/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Good st: NotStopd t0: [04:00:00 11/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 11/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 11/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 11/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 11/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [04:00:00 11/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 11/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [04:00:00 11/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [04:00:00 11/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2343 id: Pain Management el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 11/11/2011] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [04:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2343 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [04:00:00 11/11/2011] 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 11/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2343 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: No st: NotStopd t0: [04:00:00 11/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Serosanguinous v2: Small st: NotStopd t0: [04:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2343 id: PressSore Wth/Lth #1 el: 0 cu: MICU-A cg: RN v1: 3 cm v2: 3 cm st: NotStopd t0: [04:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2343 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Soap & H20 st: NotStopd t0: [04:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2343 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 11/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [04:00:00 11/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [04:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2343 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Red st: NotStopd t0: [04:00:00 11/11/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [04:00:00 11/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [04:00:00 11/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [04:00:00 11/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 11/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 11/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 11/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [04:00:00 11/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 11/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2343 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v2: No Response st: NotStopd t0: [04:00:00 11/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 11/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 11/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [04:00:00 11/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [04:00:00 11/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Clammy st: NotStopd t0: [04:00:00 11/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 11/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 11/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [04:00:00 11/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [04:00:00 11/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [04:00:00 11/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 11/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [04:00:00 11/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 11/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [04:00:00 11/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 11/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [04:00:00 11/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [04:00:00 11/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Moist st: NotStopd t0: [04:00:00 11/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [04:00:00 11/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 7 u1: number st: NotStopd t0: [04:00:00 11/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd t0: [04:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2343 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Positive st: NotStopd t0: [04:00:00 11/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [03:00:00 11/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 11/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 40.5 vu: ml t0: [03:00:00 11/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [03:00:00 11/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [03:00:00 11/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [04:00:00 11/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 11/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 40.5 vu: ml t0: [04:00:00 11/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [04:00:00 11/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 11/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [04:00:00 11/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: 2827 v1: 25 u1: ml/cmH st: NotStopd t0: [04:00:00 11/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: 2827 v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 11/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: 2827 v1: 16 t0: [04:00:00 11/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: 2827 v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 11/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: 2827 v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 11/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: 2827 v1: 10 u1: BPM st: NotStopd t0: [04:00:00 11/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: 2827 v1: 1:2.5 st: NotStopd t0: [04:00:00 11/11/2011] id: Airway Size el: 0 cu: MICU-A cg: 2827 v1: 8.0 mm st: NotStopd t0: [04:00:00 11/11/2011] id: Airway Type el: 0 cu: MICU-A cg: 2827 v1: Endotracheal st: NotStopd t0: [04:00:00 11/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: 2827 v1: 35.5 u1: Deg. C st: NotStopd t0: [04:00:00 11/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: 2827 v1: 9 v2: 20 st: NotStopd t0: [04:00:00 11/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: 2827 v1: 6 st: NotStopd t0: [04:00:00 11/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: 2827 v1: 11 u1: cmH2O st: NotStopd t0: [04:00:00 11/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: 2827 v1: 10.2 u1: L/min st: NotStopd t0: [04:00:00 11/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: 2827 v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 11/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: 2827 v1: 20 st: NotStopd t0: [04:00:00 11/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: 2827 v1: 27 u1: cmH2O st: NotStopd t0: [04:00:00 11/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: 2827 v1: 25 u1: cmH2O st: NotStopd t0: [04:00:00 11/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: 2827 v1: 0 u1: BPM st: NotStopd t0: [04:00:00 11/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: 2827 v1: 18 u1: BPM st: NotStopd t0: [04:00:00 11/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: 2827 v1: 18 u1: BPM st: NotStopd t0: [04:00:00 11/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: 2827 v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 11/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: 2827 v1: 581 u1: ml/B st: NotStopd t0: [04:00:00 11/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: 2827 v1: 550 u1: ml/B st: NotStopd t0: [04:00:00 11/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: 2827 v1: Assist Control st: NotStopd t0: [04:00:00 11/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: 2827 v1: Drager st: NotStopd t0: [04:00:00 11/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: 2827 v1: RAMP st: NotStopd
t0: [05:00:00 11/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 11/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [05:00:00 11/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 11/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 11/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 11/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 11/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [05:00:00 11/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 11/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 130 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [05:00:00 11/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [05:00:00 11/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [05:00:00 11/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [05:00:00 11/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [05:00:00 11/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 11/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [05:00:00 11/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [05:00:00 11/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 11/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 11/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 40.5 vu: ml t0: [05:00:00 11/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [05:00:00 11/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [05:00:00 11/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [05:00:00 11/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 11/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 11/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [01:00:00 11/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 200 vu: ml t0: [05:00:00 11/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml
t0: [06:00:00 11/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: 2827 v1: Blood Tinged v2: Thick st: NotStopd t0: [06:00:00 11/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: 2827 v1: Suctioned v2: Copious st: NotStopd
t0: [06:00:00 11/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 99 rs: Manual st: NotStopd
t0: [06:00:00 11/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 11/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [06:00:00 11/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 11/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 11/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 11/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 11/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [06:00:00 11/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 11/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [06:00:00 11/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [06:00:00 11/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [06:00:00 11/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [06:00:00 11/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [06:00:00 11/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [06:00:00 11/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [06:00:00 11/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [06:00:00 11/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 11/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 11/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [07:00:00 11/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 11/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 11/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 11/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 11/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [07:00:00 11/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 11/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [07:00:00 11/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [07:00:00 11/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [07:00:00 11/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [07:00:00 11/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [07:00:00 11/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 11/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [07:00:00 11/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [07:00:00 11/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 11/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 11/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 40.5 vu: ml t0: [06:00:00 11/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [06:00:00 11/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [06:00:00 11/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 200 vu: ml t0: [06:00:00 11/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [07:00:00 11/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 11/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 40.5 vu: ml t0: [07:00:00 11/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [07:00:00 11/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [07:00:00 11/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [06:00:00 11/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 11/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 11/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 11/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 11/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 11/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [09:00:00 11/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 22 u1: ml/cmH st: NotStopd t0: [09:00:00 11/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [09:00:00 11/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 16 t0: [09:00:00 11/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [09:00:00 11/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [09:00:00 11/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [09:00:00 11/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [09:00:00 11/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [09:00:00 11/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [09:00:00 11/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [09:00:00 11/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [09:00:00 11/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [09:00:00 11/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [09:00:00 11/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11 u1: L/min st: NotStopd t0: [09:00:00 11/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:00:00 11/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [09:00:00 11/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [09:00:00 11/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 2 u1: BPM st: NotStopd t0: [09:00:00 11/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [09:00:00 11/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [09:00:00 11/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [09:00:00 11/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [09:00:00 11/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 11/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [09:00:00 11/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [09:00:00 11/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [09:00:00 11/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [09:00:00 11/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [09:00:00 11/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 11/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 11/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 18 u1: mmHg st: NotStopd t0: [08:00:00 11/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [08:00:00 11/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 11/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 11/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [08:00:00 11/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [08:00:00 11/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 11/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [08:00:00 11/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 82 u1: mmHg st: NotStopd t0: [08:00:00 11/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [08:00:00 11/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [08:00:00 11/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [08:00:00 11/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 11/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:00:00 11/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [08:00:00 11/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 11/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [08:00:00 11/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [08:00:00 11/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 11/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 100 vu: ml t0: [08:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2103 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 128 vo: 10 vu: ml t0: [08:00:00 11/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 11/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 40.5 vu: ml t0: [08:00:00 11/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [08:00:00 11/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [08:00:00 11/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 5 vu: ml t0: [08:00:00 11/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [09:00:00 11/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 300 vu: ml t0: [09:00:00 11/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 11/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 40.5 vu: ml t0: [09:00:00 11/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [09:00:00 11/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [09:00:00 11/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [08:00:00 11/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 11/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 11/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 11/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 11/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 11/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [08:00:00 11/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 11/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 11/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [08:00:00 11/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 11/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2103 id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 11/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 11/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 11/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [08:00:00 11/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2103 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 11/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 11/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 11/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [08:00:00 11/11/2011] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 11/11/2011] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [08:00:00 11/11/2011] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Intermittent v2: Bilious st: NotStopd t0: [08:00:00 11/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [08:00:00 11/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2103 id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 11/11/2011] id: INV Line#3 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [08:00:00 11/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 11/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [08:00:00 11/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [08:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2103 id: INV#3 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 11/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 11/11/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 11/11/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 11/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 11/11/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [08:00:00 11/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 11/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 11/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Crackles st: NotStopd t0: [08:00:00 11/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [08:00:00 11/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2103 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 11/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 11/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [08:00:00 11/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 11/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2103 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 11/11/2011] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 11/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 11/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 29 st: NotStopd t0: [08:00:00 11/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [08:00:00 11/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 11/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [08:00:00 11/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 11/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 11/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Diminished st: NotStopd t0: [08:00:00 11/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 11/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2103 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Sternal Rub v2: Other/Remarks st: NotStopd t0: [08:00:00 11/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 11/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 11/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [08:00:00 11/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 11/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 11/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 11/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [08:00:00 11/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 11/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [08:00:00 11/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [08:00:00 11/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 11/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [08:00:00 11/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 11/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [08:00:00 11/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 11/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 11/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 11/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 8 u1: number st: NotStopd t0: [08:00:00 11/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd t0: [08:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 2103 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [08:00:00 11/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd t0: [09:00:00 11/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 11/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 18 u1: mmHg st: NotStopd t0: [09:00:00 11/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [09:00:00 11/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 11/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 11/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 11/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 11/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [09:00:00 11/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 11/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [09:00:00 11/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [09:00:00 11/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:00:00 11/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [09:00:00 11/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [09:00:00 11/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 11/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 11/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 11/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 11/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.12 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 11/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [10:00:00 11/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 11/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [10:00:00 11/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 11/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 11/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 11/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 11/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [10:00:00 11/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 11/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [10:00:00 11/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 93 u1: mmHg st: NotStopd t0: [10:00:00 11/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:00:00 11/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [10:00:00 11/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [10:00:00 11/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 11/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 11/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 11/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 11/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 11/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [11:00:00 11/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 11/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 11/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 11/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 11/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [11:00:00 11/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 11/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [11:00:00 11/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [11:00:00 11/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [11:00:00 11/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [11:00:00 11/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [11:00:00 11/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 11/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:00:00 11/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 11/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 11/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [10:00:00 11/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 11/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 40.5 vu: ml t0: [10:00:00 11/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [10:00:00 11/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [10:00:00 11/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [10:00:00 11/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml t0: [11:00:00 11/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 11/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [11:00:00 11/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [11:00:00 11/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [11:00:00 11/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [11:00:00 11/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [10:00:00 11/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 11/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 11/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 11/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 11/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 11/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 11/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 23.913 u1: ml/cmH st: NotStopd t0: [12:00:00 11/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 11/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 16 t0: [12:00:00 11/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 11/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 11/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 11/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [12:00:00 11/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 11/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 11/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 11/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [12:00:00 11/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [12:00:00 11/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [12:00:00 11/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.2 u1: L/min st: NotStopd t0: [12:00:00 11/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 11/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [12:00:00 11/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [12:00:00 11/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:00:00 11/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [12:00:00 11/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [12:00:00 11/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 11/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [12:00:00 11/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 553 u1: ml/B st: NotStopd t0: [12:00:00 11/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [12:00:00 11/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 11/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [12:00:00 11/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 11/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 11/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 11/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [12:00:00 11/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 11/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [12:00:00 11/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [12:00:00 11/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 11/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 11/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 11/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 11/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 11/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1863 id: Education Barrier el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 11/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [12:00:00 11/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1863 id: Education Handout el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [12:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1863 id: Education Learner el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1863 id: Education Method el: 0 cu: MICU-A cg: RN v1: Not Given st: NotStopd t0: [12:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1863 id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Sig Othr/Family st: NotStopd t0: [12:00:00 11/11/2011] id: Education Method el: 0 cu: MICU-A cg: RN v1: Explanation st: NotStopd t0: [12:00:00 11/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 11/11/2011] id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1863 id: Education Response el: 0 cu: MICU-A cg: RN v1: Understands st: NotStopd t0: [12:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1863 id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 11/11/2011] id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: Disease Process st: NotStopd t0: [12:00:00 11/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 11/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 11/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [12:00:00 11/11/2011] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 11/11/2011] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [12:00:00 11/11/2011] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Intermittent v2: Bilious st: NotStopd t0: [12:00:00 11/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [12:00:00 11/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [12:00:00 11/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 11/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [12:00:00 11/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 11/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 11/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 11/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 11/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [12:00:00 11/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 11/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 11/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [12:00:00 11/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 123 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [12:00:00 11/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 74 u1: mmHg st: NotStopd t0: [12:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1863 id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1863 id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [12:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1863 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: Yes st: NotStopd t0: [12:00:00 11/11/2011] id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: 0.5 cm st: NotStopd t0: [12:00:00 11/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1863 id: PressSore Wth/Lth #1 el: 0 cu: MICU-A cg: RN v1: 5 cm v2: 5 cm st: NotStopd t0: [12:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1863 id: PressSoreCleansing#1 el: 0 cu: MICU-A cg: RN v1: Wound Cleanser st: NotStopd t0: [12:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1863 id: PressSoreTreatment#1 el: 0 cu: MICU-A cg: RN v1: Wound Gel st: NotStopd t0: [12:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1863 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [12:00:00 11/11/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [12:00:00 11/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 11/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [12:00:00 11/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [12:00:00 11/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 11/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [12:00:00 11/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 11/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 11/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 11/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 11/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 11/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 11/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [12:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1863 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Sternal Rub v2: Flexion st: NotStopd t0: [12:00:00 11/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 11/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 11/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [12:00:00 11/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 11/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 11/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [12:00:00 11/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 11/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 11/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [12:00:00 11/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [12:00:00 11/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [12:00:00 11/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [12:00:00 11/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 11/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 11/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [12:00:00 11/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 11/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [12:00:00 11/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [12:00:00 11/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 11/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [12:00:00 11/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 8 u1: number st: NotStopd t0: [12:00:00 11/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd t0: [12:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1863 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [12:00:00 11/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [12:00:00 11/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 11/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [12:00:00 11/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [12:00:00 11/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [12:00:00 11/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [12:00:00 11/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [12:00:00 11/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 11/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 11/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [13:00:00 11/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 11/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [13:00:00 11/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 11/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 11/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 11/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 11/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [13:00:00 11/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 11/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [13:00:00 11/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [13:00:00 11/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [13:00:00 11/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [13:00:00 11/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [13:00:00 11/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 11/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [13:00:00 11/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 11/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 11/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 11/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [14:00:00 11/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 11/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 11/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 11/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 11/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [14:00:00 11/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 11/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [14:00:00 11/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg st: NotStopd t0: [14:00:00 11/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [14:00:00 11/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [14:00:00 11/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [14:00:00 11/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 11/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [14:00:00 11/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 11/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 11/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [13:00:00 11/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 11/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [13:00:00 11/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [13:00:00 11/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [13:00:00 11/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [13:00:00 11/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml t0: [14:00:00 11/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 11/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [14:00:00 11/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [14:00:00 11/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [14:00:00 11/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [14:00:00 11/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [13:00:00 11/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 11/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 11/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 11/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 11/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 11/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [15:00:00 11/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 11/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [15:00:00 11/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 11/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 11/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 11/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 11/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 11/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 11/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [15:00:00 11/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 72 u1: mmHg st: NotStopd t0: [15:00:00 11/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [15:00:00 11/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [15:00:00 11/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [15:00:00 11/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 11/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [15:00:00 11/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 11/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 11/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 250 vu: ml t0: [15:00:00 11/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 11/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [15:00:00 11/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [15:00:00 11/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [15:00:00 11/11/2011] tf: [16:00:00 11/11/2011] dt: 60 id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 5 vu: ml t0: [15:00:00 11/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [15:00:00 11/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 11/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 11/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 11/11/2011] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 11/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [12:00:00 11/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 11/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 11/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [12:00:00 11/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 11/11/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 11/11/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 11/11/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 11/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 29 st: NotStopd t0: [12:00:00 11/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [16:00:00 11/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 11/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 11/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [16:00:00 11/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 11/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [16:00:00 11/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [16:00:00 11/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 11/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 11/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 11/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 11/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1623 id: Education Barrier el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 11/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [16:00:00 11/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1623 id: Education Handout el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [16:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1623 id: Education Learner el: 0 cu: MICU-A cg: RN v1: Altered LOC st: NotStopd t0: [16:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1623 id: Education Method el: 0 cu: MICU-A cg: RN v1: Not Given st: NotStopd t0: [16:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1623 id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Sig Othr/Family st: NotStopd t0: [16:00:00 11/11/2011] id: Education Method el: 0 cu: MICU-A cg: RN v1: Explanation st: NotStopd t0: [16:00:00 11/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 11/11/2011] id: Education Readiness el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1623 id: Education Response el: 0 cu: MICU-A cg: RN v1: No Understanding st: NotStopd t0: [16:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1623 id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: Plan of Care st: NotStopd t0: [16:00:00 11/11/2011] id: Education Topic #2 el: 0 cu: MICU-A cg: RN v1: Coping st: NotStopd t0: [16:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1623 id: Family Communication el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 11/11/2011] id: Family Communication el: 0 cu: MICU-A cg: RN v1: SocServ Involved st: NotStopd t0: [16:00:00 11/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 11/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [16:00:00 11/11/2011] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 11/11/2011] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [16:00:00 11/11/2011] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Intermittent v2: Bilious st: NotStopd t0: [16:00:00 11/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [16:00:00 11/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [16:00:00 11/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 11/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Firm Distended st: NotStopd t0: [16:00:00 11/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 11/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 11/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 11/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 11/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Unresponsive st: NotStopd t0: [16:00:00 11/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 11/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 11/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [16:00:00 11/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [16:00:00 11/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [16:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1623 id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1623 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis v2: Yes st: NotStopd t0: [16:00:00 11/11/2011] id: PressSore Depth #1 el: 0 cu: MICU-A cg: RN v1: 0.5 cm st: NotStopd t0: [16:00:00 11/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1623 id: PressSore Wth/Lth #1 el: 0 cu: MICU-A cg: RN v1: 5 cm v2: 5 cm st: NotStopd t0: [16:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1623 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [16:00:00 11/11/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [16:00:00 11/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 11/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [16:00:00 11/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [16:00:00 11/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 11/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [16:00:00 11/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [16:00:00 11/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 11/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 11/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [16:00:00 11/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [16:00:00 11/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1623 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Sternal Rub v2: Localizes st: NotStopd t0: [16:00:00 11/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 11/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1623 id: Spiritual Support el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [16:00:00 11/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [16:00:00 11/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [16:00:00 11/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 11/11/2011] id: Spiritual Support el: 0 cu: MICU-A cg: RN v1: Clergy Visited st: NotStopd t0: [16:00:00 11/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 11/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber st: NotStopd t0: [16:00:00 11/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [16:00:00 11/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 11/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 11/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 11/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 11/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [16:00:00 11/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 11/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 11/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [16:00:00 11/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 9 u1: number st: NotStopd t0: [16:00:00 11/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd t0: [16:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1623 id: CT #2 Crepitus el: 0 cu: MICU-A cg: RN st: NotStopd t0: [16:00:00 11/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd
t0: [16:00:00 11/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 11/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 11/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [16:00:00 11/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 11/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [16:00:00 11/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [17:00:00 11/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 11/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [17:00:00 11/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 11/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 11/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 11/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 11/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [17:00:00 11/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 11/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 124 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [17:00:00 11/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [17:00:00 11/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [17:00:00 11/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [17:00:00 11/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [17:00:00 11/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [17:00:00 11/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [17:00:00 11/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 11/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 11/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 11/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 11/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [16:00:00 11/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 50 vu: ml t0: [16:00:00 11/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 11/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [16:00:00 11/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [16:00:00 11/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 11/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [16:00:00 11/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml t0: [17:00:00 11/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 11/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [17:00:00 11/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [17:00:00 11/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [17:00:00 11/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 0 vu: ml t0: [17:00:00 11/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [17:00:00 11/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 20.3704 u1: ml/cmH st: NotStopd t0: [17:00:00 11/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [17:00:00 11/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 16 t0: [17:00:00 11/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 11/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [17:00:00 11/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:00:00 11/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.4 st: NotStopd t0: [17:00:00 11/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [17:00:00 11/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 11/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [17:00:00 11/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [17:00:00 11/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [17:00:00 11/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [17:00:00 11/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10 u1: L/min st: NotStopd t0: [17:00:00 11/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 11/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [17:00:00 11/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [17:00:00 11/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [17:00:00 11/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [17:00:00 11/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [17:00:00 11/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:00:00 11/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [17:00:00 11/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [17:00:00 11/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [17:00:00 11/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [17:00:00 11/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [18:00:00 11/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 103 rs: Manual st: NotStopd
t0: [18:00:00 11/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 11/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [18:00:00 11/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 11/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 11/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 11/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 11/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [18:00:00 11/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 11/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [18:00:00 11/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [18:00:00 11/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [18:00:00 11/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [18:00:00 11/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [18:00:00 11/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [18:00:00 11/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [18:00:00 11/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [18:00:00 11/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 11/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [19:00:00 11/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [19:00:00 11/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 11/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 11/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [19:00:00 11/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [19:00:00 11/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [19:00:00 11/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 11/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 161 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [19:00:00 11/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [19:00:00 11/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [19:00:00 11/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [19:00:00 11/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [19:00:00 11/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [19:00:00 11/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [19:00:00 11/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 11/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 11/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 11/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [18:00:00 11/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [18:00:00 11/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [18:00:00 11/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 250 vu: ml t0: [18:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1503 id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 10 vu: ml t0: [18:00:00 11/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml t0: [19:00:00 11/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 11/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [19:00:00 11/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [19:00:00 11/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [19:00:00 11/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 150 vu: ml t0: [19:00:00 11/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 5 vu: ml t0: [19:00:00 11/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [18:00:00 11/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 11/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 11/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 11/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 11/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 11/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 11/11/2011] dt: 24 id: Chest Tube Out Total el: 2 cu: MICU-A cg: RN cv: 800 ap: none
t0: [21:05:00 11/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 19.6429 u1: ml/cmH st: NotStopd t0: [21:05:00 11/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [21:05:00 11/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 16 t0: [21:05:00 11/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:05:00 11/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [21:05:00 11/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:05:00 11/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [21:05:00 11/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [21:05:00 11/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [21:05:00 11/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.8 u1: Deg. C st: NotStopd t0: [21:05:00 11/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [21:05:00 11/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [21:05:00 11/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [21:05:00 11/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.3 u1: L/min st: NotStopd t0: [21:05:00 11/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:05:00 11/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [21:05:00 11/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [21:05:00 11/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [21:05:00 11/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [21:05:00 11/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [21:05:00 11/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [21:05:00 11/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:05:00 11/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 94 u1: % st: NotStopd t0: [21:05:00 11/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [21:05:00 11/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [21:05:00 11/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [21:05:00 11/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [21:05:00 11/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [22:00:00 11/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 124 rs: Manual st: NotStopd
t0: [20:00:00 11/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 11/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 11/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [20:00:00 11/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 11/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [20:00:00 11/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [20:00:00 11/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 11/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 11/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 11/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 11/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 11/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 11/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [20:00:00 11/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [20:00:00 11/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 11/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1383 id: Family Communication el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [22:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1263 id: Eye Care el: 0 cu: MICU-A cg: RN v1: SocServ Involved st: NotStopd t0: [20:00:00 11/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 11/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [20:00:00 11/11/2011] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 11/11/2011] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Not Done st: NotStopd t0: [20:00:00 11/11/2011] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Intermittent v2: Bilious st: NotStopd t0: [20:00:00 11/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [20:00:00 11/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 11/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [20:00:00 11/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 11/11/2011] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 11/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [20:00:00 11/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 11/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [20:00:00 11/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 11/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 11/11/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [20:00:00 11/11/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 11/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 11/11/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [20:00:00 11/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 11/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 11/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 11/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 11/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 11/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [20:00:00 11/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [20:00:00 11/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [20:00:00 11/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [20:00:00 11/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1383 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [20:00:00 11/11/2011] id: PresSoreStage/Heal#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis st: NotStopd t0: [20:00:00 11/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1383 id: PressSore Wth/Lth #1 el: 0 cu: MICU-A cg: RN v1: 5 cm v2: 5 cm st: NotStopd t0: [20:00:00 11/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 29 st: NotStopd t0: [20:00:00 11/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [20:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1383 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [20:00:00 11/11/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [20:00:00 11/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [20:00:00 11/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [20:00:00 11/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [20:00:00 11/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [20:00:00 11/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [20:00:00 11/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 11/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 11/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [20:00:00 11/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 11/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [20:00:00 11/11/2011] tf: [19:03:00 12/11/2011] dt: 1383 id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Sternal Rub v2: Other/Remarks st: NotStopd t0: [20:00:00 11/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 11/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 11/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [20:00:00 11/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [20:00:00 11/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 11/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [20:00:00 11/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 11/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 11/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [20:00:00 11/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [20:00:00 11/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [20:00:00 11/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 11/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 11/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [20:00:00 11/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 11/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 11/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 11/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 11/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 11/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 11/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 11/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [20:00:00 11/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [20:00:00 11/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 11/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd t0: [21:00:00 11/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 11/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [21:00:00 11/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 11/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 11/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 11/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [21:00:00 11/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 11/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 168 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [21:00:00 11/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg st: NotStopd t0: [21:00:00 11/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [21:00:00 11/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [21:00:00 11/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [21:00:00 11/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [21:00:00 11/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [21:00:00 11/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 11/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 11/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 11/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [22:00:00 11/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 11/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 11/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 11/11/2011] id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 11/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [22:00:00 11/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 11/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 11/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [22:00:00 11/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 92 u1: mmHg st: NotStopd t0: [22:00:00 11/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [22:00:00 11/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [22:00:00 11/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [22:00:00 11/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [22:00:00 11/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [22:00:00 11/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [22:00:00 11/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 11/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 11/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [20:00:00 11/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [20:00:00 11/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 11/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml t0: [21:00:00 11/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 11/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [21:00:00 11/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [21:00:00 11/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [21:00:00 11/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 10 vu: ml t0: [21:00:00 11/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml
t0: [20:00:00 11/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 11/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 11/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 11/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 11/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 11/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 11/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [21:30:00 11/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thick st: NotStopd t0: [21:30:00 11/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [22:00:00 11/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 11/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 11/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 300 vu: ml
t0: [22:30:00 11/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [22:30:00 11/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Copious st: NotStopd
t0: [00:30:00 12/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 22.9167 u1: ml/cmH st: NotStopd t0: [00:30:00 12/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:30:00 12/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 16 t0: [00:30:00 12/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:30:00 12/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:30:00 12/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:30:00 12/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [00:30:00 12/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [00:30:00 12/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:30:00 12/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.7 u1: Deg. C st: NotStopd t0: [00:30:00 12/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [00:30:00 12/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [00:30:00 12/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [00:30:00 12/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.4 u1: L/min st: NotStopd t0: [00:30:00 12/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:30:00 12/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [00:30:00 12/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [00:30:00 12/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [00:30:00 12/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:30:00 12/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:30:00 12/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:30:00 12/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:30:00 12/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [00:30:00 12/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [00:30:00 12/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [00:30:00 12/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [00:30:00 12/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [00:30:00 12/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [23:00:00 11/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 11/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [23:00:00 11/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 11/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 11/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 11/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [23:00:00 11/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 11/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 140 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [23:00:00 11/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 85 u1: mmHg st: NotStopd t0: [00:00:00 12/11/2011] tf: [19:03:00 12/11/2011] dt: 1143 id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [23:00:00 11/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [23:00:00 11/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [23:00:00 11/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [23:00:00 11/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [23:00:00 11/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [23:00:00 11/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [23:00:00 11/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [23:00:00 11/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [23:00:00 11/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 12/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 12/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 12/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [00:00:00 12/11/2011] tf: [19:03:00 12/11/2011] dt: 1143 id: BATH el: 0 cu: MICU-A cg: RN v1: Done t0: [00:00:00 12/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 12/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [00:00:00 12/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [00:00:00 12/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 12/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 12/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 12/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 12/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 12/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 12/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [00:00:00 12/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 12/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Plan of Care st: NotStopd t0: [00:00:00 12/11/2011] tf: [19:03:00 12/11/2011] dt: 1143 id: Eye Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 12/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 12/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 12/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 12/11/2011] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 12/11/2011] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 12/11/2011] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Intermittent v2: Bilious st: NotStopd t0: [00:00:00 12/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [00:00:00 12/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 12/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [00:00:00 12/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 12/11/2011] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 12/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [00:00:00 12/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 12/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 12/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [00:00:00 12/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 12/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 12/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 12/11/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [00:00:00 12/11/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 12/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 12/11/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 12/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [00:00:00 12/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 12/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 12/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 12/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 12/11/2011] tf: [19:03:00 12/11/2011] dt: 1143 id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 12/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 12/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [00:00:00 12/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 12/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [00:00:00 12/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 81 u1: mmHg st: NotStopd t0: [00:00:00 12/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 12/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 12/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [00:00:00 12/11/2011] id: PresSoreStage/Heal#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis st: NotStopd t0: [00:00:00 12/11/2011] id: PressSore Drng/Amt#1 el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 12/11/2011] tf: [19:03:00 12/11/2011] dt: 1143 id: PressSore Wth/Lth #1 el: 0 cu: MICU-A cg: RN v1: 5 cm v2: 5 cm st: NotStopd t0: [00:00:00 12/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 29 st: NotStopd t0: [00:00:00 12/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [00:00:00 12/11/2011] tf: [19:03:00 12/11/2011] dt: 1143 id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [00:00:00 12/11/2011] id: Pressure Sore Odor#1 el: 0 cu: MICU-A cg: RN v1: Negative st: NotStopd t0: [00:00:00 12/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 12/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [00:00:00 12/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [00:00:00 12/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [00:00:00 12/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [00:00:00 12/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 12/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 12/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [00:00:00 12/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 12/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [00:00:00 12/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 12/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 12/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 12/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [00:00:00 12/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [00:00:00 12/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 12/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 12/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 12/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [00:00:00 12/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [00:00:00 12/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [00:00:00 12/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [00:00:00 12/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 12/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 12/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 12/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 12/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd t0: [01:00:00 12/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 12/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [01:00:00 12/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 12/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 12/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 12/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [01:00:00 12/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 12/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 166 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [01:00:00 12/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [01:00:00 12/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [01:00:00 12/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [01:00:00 12/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [01:00:00 12/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [01:00:00 12/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [01:00:00 12/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [01:00:00 12/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 12/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 12/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [02:00:00 12/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 12/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 12/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 12/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [02:00:00 12/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 12/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [02:00:00 12/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [02:00:00 12/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [02:00:00 12/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [02:00:00 12/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [02:00:00 12/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [02:00:00 12/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [02:00:00 12/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [02:00:00 12/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 11/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 11/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [22:00:00 11/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [22:00:00 11/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 5 vu: ml t0: [22:00:00 11/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 1 vu: ml t0: [23:00:00 11/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 11/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [23:00:00 11/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [23:00:00 11/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [23:00:00 11/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [00:00:00 12/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 12/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [00:00:00 12/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [00:00:00 12/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [00:00:00 12/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 10 vu: ml t0: [00:00:00 12/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [01:00:00 12/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 12/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [01:00:00 12/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [01:00:00 12/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [01:00:00 12/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [02:00:00 12/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 12/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [02:00:00 12/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [02:00:00 12/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [02:00:00 12/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [23:00:00 11/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 11/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 11/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 12/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 12/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 12/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 12/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 12/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 12/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 12/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 12/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 12/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 12/11/2011] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 12/11/2011] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 12/11/2011] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 1474.38 ap: none t0: [23:00:00 12/11/2011] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 1534.38 ap: none t0: [23:00:00 12/11/2011] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 45 ap: none t0: [23:00:00 12/11/2011] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 1314.38 ap: none t0: [23:00:00 12/11/2011] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 220 ap: none t0: [23:00:00 12/11/2011] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: 29811.3 ap: carryForward
t0: [04:00:00 12/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 105 rs: Manual st: NotStopd
t0: [04:30:00 12/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 21.1538 u1: ml/cmH st: NotStopd t0: [04:30:00 12/11/2011] id: RSBI (<100) el: 0 cu: MICU-A cg: RRT v1: 76.9231 u1: units st: NotStopd t0: [04:30:00 12/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:30:00 12/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 16 t0: [04:30:00 12/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:30:00 12/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:30:00 12/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:30:00 12/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [04:30:00 12/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [04:30:00 12/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:30:00 12/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 34.8 u1: Deg. C st: NotStopd t0: [04:30:00 12/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [04:30:00 12/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [04:30:00 12/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:30:00 12/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 10.8 u1: L/min st: NotStopd t0: [04:30:00 12/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:30:00 12/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [04:30:00 12/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [04:30:00 12/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [04:30:00 12/11/2011] id: RSBI (<200) el: 0 cu: MICU-A cg: RRT v1: 76.9231 u1: units st: NotStopd t0: [04:30:00 12/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 1 u1: BPM st: NotStopd t0: [04:30:00 12/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [04:30:00 12/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:30:00 12/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:30:00 12/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [04:30:00 12/11/2011] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:30:00 12/11/2011] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: RRT v1: 0.26 u1: L st: NotStopd t0: [04:30:00 12/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [04:30:00 12/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [04:30:00 12/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:30:00 12/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [04:30:00 12/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 12/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [00:00:00 12/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 12/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 12/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [03:00:00 12/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 12/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 12/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 12/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [03:00:00 12/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 12/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 136 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [03:00:00 12/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [03:00:00 12/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [03:00:00 12/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [03:00:00 12/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [03:00:00 12/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [03:00:00 12/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [03:00:00 12/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 12/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 12/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 12/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [04:00:00 12/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 12/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 12/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [04:00:00 12/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 12/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 12/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [04:00:00 12/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 12/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 133 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [04:00:00 12/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 78 u1: mmHg st: NotStopd t0: [04:00:00 12/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [04:00:00 12/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [04:00:00 12/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [04:00:00 12/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [04:00:00 12/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [04:00:00 12/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [04:00:00 12/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 12/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 12/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [05:00:00 12/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 12/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 12/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 12/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [05:00:00 12/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 12/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [05:00:00 12/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg st: NotStopd t0: [05:00:00 12/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [05:00:00 12/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [05:00:00 12/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [05:00:00 12/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [05:00:00 12/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [05:00:00 12/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [05:00:00 12/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 12/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 12/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 12/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 12/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 12/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 12/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 12/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 12/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 12/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [04:00:00 12/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 12/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 12/11/2011] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 12/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [04:00:00 12/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 12/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 12/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [04:00:00 12/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 12/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 12/11/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [04:00:00 12/11/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 12/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 12/11/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 12/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [04:00:00 12/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 12/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [04:00:00 12/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 12/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 29 st: NotStopd t0: [04:00:00 12/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [04:00:00 12/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [04:00:00 12/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [04:00:00 12/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd
t0: [02:00:00 12/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 10 vu: ml t0: [03:00:00 12/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 12/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [03:00:00 12/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [03:00:00 12/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [03:00:00 12/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [04:00:00 12/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 12/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [04:00:00 12/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [04:00:00 12/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [04:00:00 12/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [05:00:00 12/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 12/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 33.75 vu: ml t0: [05:00:00 12/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [05:00:00 12/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [05:00:00 12/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 15 vu: ml t0: [05:00:00 12/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [02:00:00 12/11/2011] id: Chest Tubes Right Pleural 1 el: 1 cu: MICU-A cg: RN vo: 175 vu: ml
t0: [23:00:00 12/11/2011] dt: 24 id: Chest Tube Out Total el: 2 cu: -1 cg: RN cv: 175 ap: none
t0: [07:00:00 12/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 12/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [07:00:00 12/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 12/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 12/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 12/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [07:00:00 12/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 12/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [07:00:00 12/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [07:00:00 12/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [07:00:00 12/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [07:00:00 12/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [07:00:00 12/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [07:00:00 12/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 12/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 92 u1: % st: NotStopd t0: [07:00:00 12/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 12/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 12/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [08:00:00 12/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 12/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 12/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [08:00:00 12/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 12/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [08:00:00 12/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 79 u1: mmHg st: NotStopd t0: [08:00:00 12/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [08:00:00 12/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 55 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [08:00:00 12/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [08:00:00 12/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 90 u1: % v2: 100 u2: % st: NotStopd t0: [08:00:00 12/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [08:00:00 12/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 91 u1: % st: NotStopd t0: [08:00:00 12/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 12/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [08:00:00 12/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [08:00:00 12/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 12/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 12/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 12/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 12/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 12/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 12/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 12/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 22 u1: ml/cmH st: NotStopd t0: [08:00:00 12/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 12/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 16 t0: [08:00:00 12/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 12/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 12/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 12/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [08:00:00 12/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 12/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 12/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [08:00:00 12/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [08:00:00 12/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [08:00:00 12/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 12/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.2 u1: L/min st: NotStopd t0: [08:00:00 12/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 12/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [08:00:00 12/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [08:00:00 12/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [08:00:00 12/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 1 u1: BPM st: NotStopd t0: [08:00:00 12/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [08:00:00 12/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [08:00:00 12/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 12/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [08:00:00 12/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [08:00:00 12/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 12/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [08:00:00 12/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 12/11/2011] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Tenacious st: NotStopd t0: [08:00:00 12/11/2011] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Copious st: NotStopd
t0: [08:00:00 12/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 12/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 12/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [08:00:00 12/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 12/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [08:00:00 12/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [08:00:00 12/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 12/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 12/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 12/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 12/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [08:00:00 12/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [08:00:00 12/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 12/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 12/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 12/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 12/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [08:00:00 12/11/2011] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Positive v2: 6 st: NotStopd t0: [08:00:00 12/11/2011] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 12/11/2011] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 12/11/2011] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Bilious st: NotStopd t0: [08:00:00 12/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [08:00:00 12/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 12/11/2011] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 12/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [08:00:00 12/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 12/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [08:00:00 12/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [08:00:00 12/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 12/11/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [08:00:00 12/11/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 12/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 12/11/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [08:00:00 12/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 12/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 12/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 12/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 12/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 12/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 12/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [08:00:00 12/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [08:00:00 12/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 12/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 12/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 12/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 12/11/2011] id: PresSoreStage/Heal#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis st: NotStopd t0: [08:00:00 12/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 29 st: NotStopd t0: [08:00:00 12/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [08:00:00 12/11/2011] id: PressSoreWoundBase#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [08:00:00 12/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 12/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [08:00:00 12/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [08:00:00 12/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 12/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 12/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [08:00:00 12/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 12/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 12/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 12/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 12/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [08:00:00 12/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [08:00:00 12/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 12/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 12/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [08:00:00 12/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 12/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Brown v2: Sediment st: NotStopd t0: [08:00:00 12/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [08:00:00 12/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 12/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 12/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 12/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [08:00:00 12/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 12/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 12/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 12/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 8 u1: number st: NotStopd t0: [08:00:00 12/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd t0: [08:00:00 12/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd t0: [09:00:00 12/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 12/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [09:00:00 12/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 12/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 12/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 12/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [09:00:00 12/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 12/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [09:00:00 12/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 67 u1: mmHg st: NotStopd t0: [09:00:00 12/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [09:00:00 12/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [09:00:00 12/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [09:00:00 12/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 86 u1: % v2: 100 u2: % st: NotStopd t0: [09:00:00 12/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 9 u1: BPM st: NotStopd t0: [09:00:00 12/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 94 u1: % st: NotStopd t0: [09:00:00 12/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 12/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [08:00:00 12/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 50.625 vu: ml t0: [08:00:00 12/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 30 vu: ml t0: [08:00:00 12/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 18 vu: ml t0: [08:00:00 12/11/2011] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 10 vu: ml t0: [08:00:00 12/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 6 vu: ml
t0: [09:00:00 12/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 12/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 12/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [10:00:00 12/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 12/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [10:00:00 12/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [10:00:00 12/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 12/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 12/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 12/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 12/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 12/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 129 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:00:00 12/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 76 u1: mmHg st: NotStopd t0: [10:00:00 12/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [10:00:00 12/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [10:00:00 12/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [10:00:00 12/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 86 u1: % v2: 100 u2: % st: NotStopd t0: [10:00:00 12/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 5 u1: BPM st: NotStopd t0: [10:00:00 12/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 12/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 12/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 12/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.875 vu: ml t0: [09:00:00 12/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [09:00:00 12/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [09:00:00 12/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [10:00:00 12/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 12/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.875 vu: ml t0: [10:00:00 12/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [10:00:00 12/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [10:00:00 12/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [10:00:00 12/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 12/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 12/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [10:00:00 12/11/2011] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 94 rs: Manual st: NotStopd
t0: [12:00:00 12/11/2011] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 22.9167 u1: ml/cmH st: NotStopd t0: [12:00:00 12/11/2011] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 12/11/2011] id: HIGH MINUTE VOLUME el: 0 cu: MICU-A cg: RRT v1: 16 t0: [12:00:00 12/11/2011] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 12/11/2011] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 12/11/2011] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [12:00:00 12/11/2011] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:2.5 st: NotStopd t0: [12:00:00 12/11/2011] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 12/11/2011] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 12/11/2011] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 12/11/2011] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 9 v2: 20 st: NotStopd t0: [12:00:00 12/11/2011] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 6 st: NotStopd t0: [12:00:00 12/11/2011] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [12:00:00 12/11/2011] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11.2 u1: L/min st: NotStopd t0: [12:00:00 12/11/2011] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 12/11/2011] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [12:00:00 12/11/2011] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [12:00:00 12/11/2011] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [12:00:00 12/11/2011] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 5 u1: BPM st: NotStopd t0: [12:00:00 12/11/2011] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 23 u1: BPM st: NotStopd t0: [12:00:00 12/11/2011] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [12:00:00 12/11/2011] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 12/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 96 u1: % st: NotStopd t0: [12:00:00 12/11/2011] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 648 u1: ml/B st: NotStopd t0: [12:00:00 12/11/2011] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [12:00:00 12/11/2011] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [12:00:00 12/11/2011] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [12:00:00 12/11/2011] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [11:00:00 12/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 12/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [11:00:00 12/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 12/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 12/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 12/11/2011] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 12/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [11:00:00 12/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 12/11/2011] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 12/11/2011] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 12/11/2011] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 12/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 122 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [11:00:00 12/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 73 u1: mmHg st: NotStopd t0: [11:00:00 12/11/2011] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [11:00:00 12/11/2011] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 12/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [11:00:00 12/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [11:00:00 12/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [11:00:00 12/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 86 u1: % v2: 100 u2: % st: NotStopd t0: [11:00:00 12/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:00:00 12/11/2011] id: Skin Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 12/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 12/11/2011] id: Therapeutic Bed el: 0 cu: MICU-A cg: RN v1: AtmosAir Mattres st: NotStopd t0: [11:00:00 12/11/2011] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 12/11/2011] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [11:00:00 12/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 12/11/2011] id: CT #2 Dressing el: 0 cu: MICU-A cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 12/11/2011] id: CT #2 Fluctuate/Leak el: 0 cu: MICU-A cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 12/11/2011] id: CT #2 Suction Amount el: 0 cu: MICU-A cg: RN v1: H2O Seal st: NotStopd t0: [12:00:00 12/11/2011] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 12/11/2011] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Change in Vitals st: NotStopd t0: [12:00:00 12/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 12/11/2011] id: Chest Tube Site #2 el: 0 cu: MICU-A cg: RN v1: Right Anterior st: NotStopd t0: [12:00:00 12/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [12:00:00 12/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 12/11/2011] id: Cough Reflex el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 12/11/2011] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 12/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/11/2011] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 12/11/2011] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [12:00:00 12/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 12/11/2011] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [12:00:00 12/11/2011] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/11/2011] id: Edema Location/Amt#1 el: 0 cu: MICU-A cg: RN v1: General v2: 8 mm st: NotStopd t0: [12:00:00 12/11/2011] id: GI#1 Intub Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 12/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/11/2011] id: Education Topic #1 el: 0 cu: MICU-A cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 12/11/2011] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 12/11/2011] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 12/11/2011] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 3 u1: points st: NotStopd t0: [12:00:00 12/11/2011] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 12/11/2011] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 12/11/2011] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [12:00:00 12/11/2011] id: Gag Reflex el: 0 cu: MICU-A cg: RN v1: Absent st: NotStopd t0: [12:00:00 12/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [12:00:00 12/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 12/11/2011] id: INV Line#3 Type/Site el: 0 cu: MICU-A cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 12/11/2011] id: INV Line#3InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [12:00:00 12/11/2011] id: INV Line#3SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/11/2011] id: INV Line#4 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 12/11/2011] id: INV Line#4 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 12/11/2011] id: INV Line#4InsertDate el: 0 cu: MICU-A cg: RN v1: 9 v2: 26 st: NotStopd t0: [12:00:00 12/11/2011] id: INV Line#4SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/11/2011] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [12:00:00 12/11/2011] id: INV#4 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 12/11/2011] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 9 v2: 28 st: NotStopd t0: [12:00:00 12/11/2011] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [12:00:00 12/11/2011] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 12/11/2011] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 12/11/2011] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 12/11/2011] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 12/11/2011] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 12/11/2011] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 12/11/2011] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 12/11/2011] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Oral Ulcers st: NotStopd t0: [12:00:00 12/11/2011] id: Orientation el: 0 cu: MICU-A cg: RN v1: Unable to Assess st: NotStopd t0: [12:00:00 12/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [12:00:00 12/11/2011] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 12/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 64 u1: mmHg st: NotStopd t0: [12:00:00 12/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [12:00:00 12/11/2011] id: PresSoreStage/Heal#1 el: 0 cu: MICU-A cg: RN v1: Through Dermis st: NotStopd t0: [12:00:00 12/11/2011] id: INV#3 Dsg Change el: 0 cu: MICU-A cg: RN v1: 9 v2: 29 st: NotStopd t0: [12:00:00 12/11/2011] id: INV#4 Dsg Change el: 0 cu: MICU-A cg: RN v1: 10 v2: 1 st: NotStopd t0: [12:00:00 12/11/2011] id: PressSoreWoundBase#1 el: 0 cu: MICU-A cg: RN v1: Pink st: NotStopd t0: [12:00:00 12/11/2011] id: Pressure Sore Site#1 el: 0 cu: MICU-A cg: RN v1: Coccyx st: NotStopd t0: [12:00:00 12/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [12:00:00 12/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [12:00:00 12/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 86 u1: % v2: 100 u2: % st: NotStopd t0: [12:00:00 12/11/2011] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [12:00:00 12/11/2011] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 12/11/2011] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 12/11/2011] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 12/11/2011] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: No Movement st: NotStopd t0: [12:00:00 12/11/2011] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 12/11/2011] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 12/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 12/11/2011] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 12/11/2011] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 12/11/2011] id: Skin Color el: 0 cu: MICU-A cg: RN v1: Flushed st: NotStopd t0: [12:00:00 12/11/2011] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Impaired st: NotStopd t0: [12:00:00 12/11/2011] id: Skin Temp/Condition el: 0 cu: MICU-A cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 12/11/2011] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 12/11/2011] id: Stool Color/Consist el: 0 cu: MICU-A cg: RN v1: Brown v2: Loose st: NotStopd t0: [12:00:00 12/11/2011] id: Stool Management el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 12/11/2011] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 12/11/2011] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.3333 u1: Deg. C st: NotStopd t0: [12:00:00 12/11/2011] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 97.4 u1: Deg. F st: NotStopd t0: [12:00:00 12/11/2011] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Brown v2: Sediment st: NotStopd t0: [12:00:00 12/11/2011] id: Urine Source el: 0 cu: MICU-A cg: RN v1: 3way Foley st: NotStopd t0: [12:00:00 12/11/2011] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 12/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 12/11/2011] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [12:00:00 12/11/2011] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 12/11/2011] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Problem st: NotStopd t0: [12:00:00 12/11/2011] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Comp. Immobile st: NotStopd t0: [12:00:00 12/11/2011] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 12/11/2011] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [12:00:00 12/11/2011] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 8 u1: number st: NotStopd t0: [12:00:00 12/11/2011] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Comp. Limited st: NotStopd t0: [12:00:00 12/11/2011] id: CT #2 Drainage el: 0 cu: MICU-A cg: RN v1: Serosanguinous st: NotStopd t0: [13:00:00 12/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 12/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Do Not Resuscita st: NotStopd t0: [13:00:00 12/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 12/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 12/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 12/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 96 u1: BPM st: NotStopd t0: [13:00:00 12/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 12/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [13:00:00 12/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [13:00:00 12/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [13:00:00 12/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [13:00:00 12/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [13:00:00 12/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 86 u1: % v2: 100 u2: % st: NotStopd t0: [13:00:00 12/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [13:00:00 12/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 12/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 12/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 12/11/2011] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [14:00:00 12/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 12/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 12/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 12/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [14:00:00 12/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 12/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 132 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [14:00:00 12/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 84 u1: mmHg st: NotStopd t0: [14:00:00 12/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [14:00:00 12/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [14:00:00 12/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [14:00:00 12/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 86 u1: % v2: 100 u2: % st: NotStopd t0: [14:00:00 12/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 12/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 12/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 12/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 12/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.875 vu: ml t0: [11:00:00 12/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [11:00:00 12/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [11:00:00 12/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [12:00:00 12/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 12/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.875 vu: ml t0: [12:00:00 12/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [12:00:00 12/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [12:00:00 12/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [13:00:00 12/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 12/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.875 vu: ml t0: [13:00:00 12/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [13:00:00 12/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [13:00:00 12/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml t0: [14:00:00 12/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 12/11/2011] id: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions el: 1 cu: MICU-A cg: RN ai: 117 vo: 16.875 vu: ml t0: [14:00:00 12/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vo: 10 vu: ml t0: [14:00:00 12/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6 vu: ml t0: [14:00:00 12/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vo: 2 vu: ml
t0: [11:00:00 12/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 12/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 12/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 12/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 12/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 12/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 12/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 12/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 12/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 12/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 12/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 12/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
id: Morphine Sulfate el: 100 cu: MICU-A cg: RN io: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions am: 100 du: mghr rt: IV Drip
tf: [23:00:00 12/11/2011] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Morphine Sulfate v1: 100 u1: mg m2: D5W v2: 100 u2: ml
id: D5W el: 1 cu: MICU-A cg: RN io: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [14:00:00 12/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Comfort Measures st: NotStopd
t0: [15:00:00 12/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 12/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Comfort Measures st: NotStopd t0: [15:00:00 12/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 12/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 12/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 12/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 83 u1: BPM st: NotStopd t0: [15:00:00 12/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 12/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 125 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [15:00:00 12/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 75 u1: mmHg st: NotStopd t0: [15:00:00 12/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [15:00:00 12/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [15:00:00 12/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [15:00:00 12/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 86 u1: % v2: 100 u2: % st: NotStopd t0: [15:00:00 12/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:00:00 12/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 12/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [15:30:00 12/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:30:00 12/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 11 u1: mmHg st: NotStopd t0: [15:30:00 12/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Comfort Measures st: NotStopd t0: [15:30:00 12/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:30:00 12/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:30:00 12/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:30:00 12/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [15:30:00 12/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:30:00 12/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [15:30:00 12/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 71 u1: mmHg st: NotStopd t0: [15:30:00 12/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [15:30:00 12/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [15:30:00 12/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [15:30:00 12/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 86 u1: % v2: 100 u2: % st: NotStopd t0: [15:30:00 12/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:30:00 12/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [15:30:00 12/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 12/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 200 vu: ml t0: [08:30:00 12/11/2011] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 30 vu: ml t0: [09:00:00 12/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 300 vu: ml t0: [12:00:00 12/11/2011] id: D5W 100.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 304 vo: 200 vu: ml t0: [12:00:00 12/11/2011] id: Gastric Meds PO/Gastric el: 1 cu: MICU-A cg: RN ai: 155 vo: 30 vu: ml t0: [15:00:00 12/11/2011] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vu: ml st: Stopped t0: [15:00:00 12/11/2011] id: D5W 500.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 168 vu: ml st: Stopped t0: [15:00:00 12/11/2011] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vu: ml st: Stopped t0: [15:00:00 12/11/2011] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: MICU-A cg: RN ai: 113 vu: ml st: Stopped t0: [15:30:00 12/11/2011] id: D5W 100.0ml + 100mghr Morphine Sulfate IV Infusions el: 1 cu: MICU-A cg: RN ai: 171 vo: 0 vu: ml nb: 1
t0: [15:00:00 12/11/2011] id: Fentanyl el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 60 du: mcghr sv: 250 su: ml rt: IV Drip st: Stopped t0: [15:30:00 12/11/2011] tf: [19:03:00 12/11/2011] dt: 213 id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 12/11/2011] id: Midazolam el: 1 cu: MICU-A cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip st: Stopped t0: [15:30:00 12/11/2011] id: Levophed-k el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 0.05 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:30:00 12/11/2011] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 12/11/2011] dt: 24 id: PO/Gastric In Total el: 2 cu: -1 cg: RN cv: 60 ap: none
t0: [16:00:00 12/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 12/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 21 u1: mmHg st: NotStopd t0: [16:00:00 12/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Comfort Measures st: NotStopd t0: [16:00:00 12/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 12/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 12/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 12/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 99 u1: BPM st: NotStopd t0: [16:00:00 12/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 12/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [16:00:00 12/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [16:00:00 12/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:00:00 12/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [16:00:00 12/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [16:00:00 12/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 86 u1: % v2: 100 u2: % st: NotStopd t0: [16:00:00 12/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 12/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 82 u1: % st: NotStopd t0: [16:00:00 12/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:15:00 12/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:15:00 12/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 18 u1: mmHg st: NotStopd t0: [16:15:00 12/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Comfort Measures st: NotStopd t0: [16:15:00 12/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:15:00 12/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:15:00 12/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:15:00 12/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [16:15:00 12/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:15:00 12/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [16:15:00 12/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 77 u1: mmHg st: NotStopd t0: [16:15:00 12/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:15:00 12/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [16:15:00 12/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [16:15:00 12/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 86 u1: % v2: 100 u2: % st: NotStopd t0: [16:15:00 12/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:15:00 12/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 83 u1: % st: NotStopd t0: [16:15:00 12/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:30:00 12/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:30:00 12/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 20 u1: mmHg st: NotStopd t0: [16:30:00 12/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Comfort Measures st: NotStopd t0: [16:30:00 12/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:30:00 12/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Occasional st: NotStopd t0: [16:30:00 12/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:30:00 12/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:30:00 12/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 54 u1: BPM st: NotStopd t0: [16:30:00 12/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [16:30:00 12/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 83 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [16:30:00 12/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 53 u1: mmHg st: NotStopd t0: [16:30:00 12/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:30:00 12/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [16:30:00 12/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [16:30:00 12/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 86 u1: % v2: 100 u2: % st: NotStopd t0: [16:30:00 12/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:30:00 12/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 87 u1: % st: NotStopd t0: [16:30:00 12/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:35:00 12/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:35:00 12/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 19 u1: mmHg st: NotStopd t0: [16:35:00 12/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Comfort Measures st: NotStopd t0: [16:35:00 12/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:35:00 12/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [16:35:00 12/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:35:00 12/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:35:00 12/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [16:35:00 12/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:35:00 12/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 70 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [16:35:00 12/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 45 u1: mmHg st: NotStopd t0: [16:35:00 12/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:35:00 12/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [16:35:00 12/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [16:35:00 12/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 86 u1: % v2: 100 u2: % st: NotStopd t0: [16:35:00 12/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 12 u1: BPM st: NotStopd t0: [16:35:00 12/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 88 u1: % st: NotStopd t0: [16:35:00 12/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:40:00 12/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:40:00 12/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 23 u1: mmHg st: NotStopd t0: [16:40:00 12/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Comfort Measures st: NotStopd t0: [16:40:00 12/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:40:00 12/11/2011] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: Frequent st: NotStopd t0: [16:40:00 12/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: PVC's st: NotStopd t0: [16:40:00 12/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:40:00 12/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 39 u1: BPM st: NotStopd t0: [16:40:00 12/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [16:40:00 12/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [16:40:00 12/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 31 u1: mmHg st: NotStopd t0: [16:40:00 12/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:40:00 12/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [16:40:00 12/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [16:40:00 12/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 86 u1: % v2: 100 u2: % st: NotStopd t0: [16:40:00 12/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [16:40:00 12/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 89 u1: % st: NotStopd t0: [16:40:00 12/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:45:00 12/11/2011] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:45:00 12/11/2011] id: CVP el: 0 cu: MICU-A cg: RN v1: 16 u1: mmHg st: NotStopd t0: [16:45:00 12/11/2011] id: Code Status el: 0 cu: MICU-A cg: RN v1: Comfort Measures st: NotStopd t0: [16:45:00 12/11/2011] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:45:00 12/11/2011] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:45:00 12/11/2011] id: Health Care Proxy el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:45:00 12/11/2011] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [16:45:00 12/11/2011] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Asystole st: NotStopd t0: [16:45:00 12/11/2011] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [16:45:00 12/11/2011] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 22 u1: mmHg st: NotStopd t0: [16:45:00 12/11/2011] id: Precautions el: 0 cu: MICU-A cg: RN v1: Contact st: NotStopd t0: [16:45:00 12/11/2011] id: ABP Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [16:45:00 12/11/2011] id: HR Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 50 u1: BPM v2: 120 u2: BPM st: NotStopd t0: [16:45:00 12/11/2011] id: SpO2 Alarm (Lo/Hi) el: 0 cu: MICU-A cg: RN v1: 86 u1: % v2: 100 u2: % st: NotStopd t0: [16:45:00 12/11/2011] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 0 u1: BPM st: NotStopd t0: [16:45:00 12/11/2011] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 82 u1: % st: NotStopd t0: [16:45:00 12/11/2011] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 12/11/2011] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [16:15:00 12/11/2011] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [16:30:00 12/11/2011] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [16:35:00 12/11/2011] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [16:40:00 12/11/2011] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip t0: [16:45:00 12/11/2011] id: Morphine Sulfate el: 1 cu: MICU-A cg: RN so: D5W vo: 0 v1: 4 du: mghr sv: 100 su: ml rt: IV Drip
t0: [18:27:00 12/11/2011] id: BSA el: 1033 cu: MICU-A cg: -1 v1: 2.10426 u1: m2 t0: [18:27:00 12/11/2011] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 90 u1: kg t0: [18:27:00 12/11/2011] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 t0: [18:27:00 12/11/2011] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: FUNGAL PNEUMONIA t0: [18:27:00 12/11/2011] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [18:27:00 12/11/2011] id: Admit Ht el: 1034 cu: MICU-A cg: -1 v1: 67 u1: inches t0: [18:27:00 12/11/2011] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [18:27:00 12/11/2011] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: M t0: [18:27:00 12/11/2011] id: Religion el: 1000 cu: MICU-A cg: -1 v1: RCA t0: [18:27:00 12/11/2011] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [18:27:00 12/11/2011] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [18:27:00 12/11/2011] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [18:27:00 12/11/2011] id: Allergy 3 el: 1022 cu: MICU-A cg: -1