This log is also available as text (s26296.txt) and as a (binary) annotation file (s26296.log).
Generated: Monday, 07-Jun-2010 13:20:52 EDT
(All dates below are surrogates.)
t0: [15:23:23 26/02/2017] tf: [14:43:05 01/03/2017] id: a41177 [view]
t0: [14:48:59 26/02/2017] tf: [04:27:59 01/03/2017] id: a41177n [view]
dd: 78039 ds: 2 ld: OTHER CONVULSIONS dd: 9248 ds: 3 ld: MULTIPLE CONTUSIONS NEC dd: 95901 ds: 1 ld: HEAD INJURY UNSPECIFIED dd: E8120 ds: 4 ld: MV COLLISION NOS-DRIVER
dd: 2720 ds: 9 ld: PURE HYPERCHOLESTEROLEM dd: 3209 ds: 2 ld: BACTERIAL MENINGITIS NOS dd: 7220 ds: 8 ld: CERVICAL DISC DISPLACMNT dd: 78039 ds: 4 ld: OTHER CONVULSIONS dd: 8054 ds: 3 ld: FX LUMBAR VERTEBRA-CLOSE dd: 81203 ds: 6 ld: FX GR TUBEROS HUMERUS-CL dd: 8240 ds: 5 ld: FX MEDIAL MALLEOLUS-CLOS dd: 85406 ds: 1 ld: BRAIN INJ NEC-COMA NOS dd: E8160 ds: 7 ld: LOSS CONTROL MV ACC-DRIV
tf: [14:58:00 27/02/2017] dt: 152 cu: C-SICU de: MICU-A
t0: [12:26:00 27/02/2017] id: BSA el: 1033 cu: C-SICU cg: 3029 t0: [12:26:00 27/02/2017] id: Admit Wt el: 1032 cu: C-SICU cg: 3029 t0: [12:26:00 27/02/2017] id: Allergy 1 el: 1020 cu: C-SICU cg: 3029 t0: [12:26:00 27/02/2017] id: Diagnosis/op el: 1023 cu: C-SICU cg: 3029 t0: [12:26:00 27/02/2017] id: Service el: 1026 cu: C-SICU cg: 3029 v1: TRA t0: [12:26:00 27/02/2017] id: Admit Ht el: 1034 cu: C-SICU cg: 3029 t0: [12:26:00 27/02/2017] id: Readmission el: 1014 cu: C-SICU cg: 3029 t0: [12:26:00 27/02/2017] id: Marital Status el: 1006 cu: C-SICU cg: 3029 v1: M t0: [12:26:00 27/02/2017] id: Religion el: 1000 cu: C-SICU cg: 3029 v1: U t0: [12:26:00 27/02/2017] id: Allergy 2 el: 1021 cu: C-SICU cg: 3029 t0: [12:26:00 27/02/2017] id: Ext el: 1010 cu: C-SICU cg: 3029 t0: [12:26:00 27/02/2017] id: PIN el: 1012 cu: C-SICU cg: 3029 t0: [12:26:00 27/02/2017] id: Allergy 3 el: 1022 cu: C-SICU cg: 3029
id: D5W el: 1 cu: C-SICU cg: -1 io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: Po Intake el: 1 cu: C-SICU cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
tf: [20:00:00 27/02/2017] pt: IV Piggyback rt: IV fr: Q12H fs: 13, 1 dn: 2 m1: Famotidine v1: 20 u1: mg m2: Iso-Osmotic Sodium Chloride v2: 50 u2: ml tf: [21:00:00 27/02/2017] pt: IV Piggyback rt: IV fr: ONCE fs: 13 dn: 1 m1: Phenytoin Sodium v1: 500 u1: mg m2: NS (Glass Bottle) v2: 250 u2: ml tf: [21:00:00 27/02/2017] pt: IV Piggyback rt: IV fr: Q4H fs: 13, 17, 21, 1, 5, 9 dn: 6 m1: Ampicillin Sodium v1: 2 u1: gm m2: NS v2: 100 u2: ml tf: [16:00:00 02/03/2017] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride v1: 20 u1: mEq m2: SW v2: 200 u2: ml tf: [16:00:00 02/03/2017] pt: Unit Dose rt: IV fr: PRN m1: Calcium Gluconate v1: 2 u1: gm tf: [16:00:00 02/03/2017] pt: Unit Dose rt: IV fr: PRN m1: Magnesium Sulfate v1: 1 u1: gm tf: [17:00:00 02/03/2017] pt: IV Piggyback rt: IV fr: Q12H fs: 13, 1 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml tf: [10:00:00 03/03/2017] pt: IV Piggyback rt: IV fr: Q8H fs: 13, 21, 5 dn: 3 m1: Phenytoin Sodium v1: 200 u1: mg m2: NS (Glass Bottle) v2: 100 u2: ml tf: [20:00:00 03/03/2017] pt: Unit Dose rt: SC fr: Q12H fs: 13, 1 dn: 2 m1: Heparin v1: 5000 u1: UNIT
tf: [16:00:00 02/03/2017] pt: Unit Dose rt: NU fr: QID fs: 10, 14, 18, 22 dn: 4 m1: Sodium Chloride Nasal v1: 1-2 u1: SPRY
tf: [16:01:00 02/03/2017] dt: 4383 cu: MICU-A de: CC7
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
id: OR Crystalloid el: 1 cu: MICU-A cg: RNC io: OR Crystalloid OR Intake du: ml rt: Intravenous Push 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 id: Pre-Admission Intake el: 1 cu: MICU-A cg: RN io: Pre-Admission Intake Pre-Admission Intake du: cc rt: Intravenous Push
t0: [15:00:00 27/02/2017] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [15:00:00 27/02/2017] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [15:00:00 27/02/2017] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [15:00:00 27/02/2017] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 1 v2: 19 st: NotStopd t0: [15:00:00 27/02/2017] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [15:00:00 27/02/2017] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [15:00:00 27/02/2017] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd t0: [15:32:00 27/02/2017] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [15:32:00 27/02/2017] id: high min. vol. el: 0 cu: MICU-A cg: RRT v1: 12 t0: [15:32:00 27/02/2017] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [15:32:00 27/02/2017] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [15:32:00 27/02/2017] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [15:32:00 27/02/2017] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.3 st: NotStopd t0: [15:32:00 27/02/2017] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [15:32:00 27/02/2017] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [15:32:00 27/02/2017] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [15:32:00 27/02/2017] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 1 v2: 19 st: NotStopd t0: [15:32:00 27/02/2017] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [15:32:00 27/02/2017] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [15:32:00 27/02/2017] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.8 u1: L/min st: NotStopd t0: [15:32:00 27/02/2017] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:32:00 27/02/2017] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [15:32:00 27/02/2017] id: Peak Flow el: 0 cu: MICU-A cg: RRT u1: L/m st: NotStopd t0: [15:32:00 27/02/2017] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [15:32:00 27/02/2017] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [15:32:00 27/02/2017] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [15:32:00 27/02/2017] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [15:32:00 27/02/2017] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [15:32:00 27/02/2017] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [15:32:00 27/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [15:32:00 27/02/2017] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 569 u1: ml/B st: NotStopd t0: [15:32:00 27/02/2017] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [15:32:00 27/02/2017] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [15:32:00 27/02/2017] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [15:32:00 27/02/2017] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [15:39:00 27/02/2017] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd
t0: [15:45:00 27/02/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [15:45:00 27/02/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:45:00 27/02/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [15:45:00 27/02/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [15:45:00 27/02/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [15:45:00 27/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:45:00 27/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:45:00 27/02/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [15:45:00 27/02/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:45:00 27/02/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [15:45:00 27/02/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [15:45:00 27/02/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [15:45:00 27/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [15:45:00 27/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:45:00 27/02/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [15:45:00 27/02/2017] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:45:00 27/02/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [15:45:00 27/02/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:45:00 27/02/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [15:45:00 27/02/2017] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [15:45:00 27/02/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [15:45:00 27/02/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [15:45:00 27/02/2017] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [15:45:00 27/02/2017] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Post Forearm v2: 18 gauge st: NotStopd t0: [15:45:00 27/02/2017] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [15:45:00 27/02/2017] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [15:45:00 27/02/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [15:45:00 27/02/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:45:00 27/02/2017] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:45:00 27/02/2017] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [15:45:00 27/02/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [15:45:00 27/02/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [15:45:00 27/02/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [15:45:00 27/02/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [15:45:00 27/02/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [15:45:00 27/02/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:45:00 27/02/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [15:45:00 27/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 177 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [15:45:00 27/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg st: NotStopd t0: [15:45:00 27/02/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [15:45:00 27/02/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:45:00 27/02/2017] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [15:45:00 27/02/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [15:45:00 27/02/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [15:45:00 27/02/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [15:45:00 27/02/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:45:00 27/02/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [15:45:00 27/02/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [15:45:00 27/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:45:00 27/02/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [15:45:00 27/02/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [15:45:00 27/02/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [15:45:00 27/02/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [15:45:00 27/02/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [15:45:00 27/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [15:45:00 27/02/2017] id: Stool Guaiac el: 0 cu: MICU-A cg: RN v1: Not Applicable st: NotStopd t0: [15:45:00 27/02/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [15:45:00 27/02/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.6111 u1: Deg. C st: NotStopd t0: [15:45:00 27/02/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 101.5 u1: Deg. F st: NotStopd t0: [15:45:00 27/02/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [15:45:00 27/02/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [15:45:00 27/02/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [15:45:00 27/02/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:45:00 27/02/2017] id: Daily Weight el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [15:45:00 27/02/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [15:45:00 27/02/2017] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [15:45:00 27/02/2017] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [15:45:00 27/02/2017] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [15:45:00 27/02/2017] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Rarely Moist st: NotStopd t0: [15:45:00 27/02/2017] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [15:45:00 27/02/2017] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [15:45:00 27/02/2017] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [15:45:00 27/02/2017] tf: [16:01:00 02/03/2017] dt: 4336 id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml t0: [15:45:00 27/02/2017] tf: [23:00:00 27/02/2017] dt: 435 id: Pre-Admission Output Pre-Admission Output el: 1 cu: MICU-A cg: RN vo: 3250 vu: ml
t0: [15:45:00 27/02/2017] tf: [16:01:00 02/03/2017] dt: 4336 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: [15:45:00 27/02/2017] id: Communication el: 0 cu: MICU-A cg: RNC v1: None st: NotStopd t0: [15:45:00 27/02/2017] id: Follows Commands el: 0 cu: MICU-A cg: RNC v1: No st: NotStopd t0: [15:45:00 27/02/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RNC v1: Normal Strength st: NotStopd t0: [15:45:00 27/02/2017] id: Neuro Symptoms el: 0 cu: MICU-A cg: RNC v1: Not Indicated st: NotStopd t0: [15:45:00 27/02/2017] id: Pupil Response R/L el: 0 cu: MICU-A cg: RNC v1: Brisk v2: Brisk st: NotStopd t0: [15:45:00 27/02/2017] id: Pupil Size R/L el: 0 cu: MICU-A cg: RNC v1: 3 mm v2: 3 mm st: NotStopd t0: [15:45:00 27/02/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RNC v1: Normal Strength st: NotStopd t0: [15:45:00 27/02/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RNC v1: Sternal Rub v2: Localizes st: NotStopd t0: [15:45:00 27/02/2017] id: Speech el: 0 cu: MICU-A cg: RNC v1: Intubated/trach st: NotStopd t0: [15:45:00 27/02/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RNC v1: Purposeful st: NotStopd
io: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RNC ra: 100 ru: ml/hr
id: Gastric Meds el: 1 cu: MICU-A cg: RNC io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube id: .9% Normal Saline el: 1 cu: MICU-A cg: RNC io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [15:00:00 27/02/2017] id: Service Type el: 0 cu: MICU-A cg: RNC v1: MICU st: NotStopd t0: [15:00:00 27/02/2017] id: Code Status el: 0 cu: MICU-A cg: RNC v1: Full Code st: NotStopd t0: [15:00:00 27/02/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RNC v1: Sedated st: NotStopd t0: [15:00:00 27/02/2017] id: Precautions el: 0 cu: MICU-A cg: RNC v1: Airborne/Resp st: NotStopd t0: [15:00:00 27/02/2017] id: Radiologic Study el: 0 cu: MICU-A cg: RNC v1: Other/Remarks st: NotStopd t0: [16:00:00 27/02/2017] id: Pain Present el: 0 cu: MICU-A cg: RNC v1: No st: NotStopd t0: [16:00:00 27/02/2017] id: Service Type el: 0 cu: MICU-A cg: RNC v1: MICU st: NotStopd t0: [16:00:00 27/02/2017] id: Code Status el: 0 cu: MICU-A cg: RNC v1: Full Code st: NotStopd t0: [16:00:00 27/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RNC v1: None st: NotStopd t0: [16:00:00 27/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RNC v1: 76 u1: BPM st: NotStopd t0: [16:00:00 27/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RNC v1: Normal Sinus st: NotStopd t0: [16:00:00 27/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RNC v1: 178 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [16:00:00 27/02/2017] id: Pain Location el: 0 cu: MICU-A cg: RNC v1: Not Indicated st: NotStopd t0: [16:00:00 27/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RNC v1: 115 u1: mmHg st: NotStopd t0: [16:00:00 27/02/2017] id: Precautions el: 0 cu: MICU-A cg: RNC v1: Airborne/Resp st: NotStopd t0: [16:00:00 27/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RNC v1: 112.5 u1: kg st: NotStopd t0: [16:00:00 27/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RNC v1: 14 u1: BPM st: NotStopd t0: [16:00:00 27/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RNC v1: 100 u1: % st: NotStopd t0: [16:00:00 27/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RNC v1: 1 u1: kg st: NotStopd
t0: [16:00:00 27/02/2017] tf: [13:00:00 01/03/2017] dt: 2700 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RNC ai: 107 vo: 0 vu: ml nb: 1 t0: [16:00:00 27/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RNC ai: 107 vo: 0 vu: ml nb: 1 t0: [16:00:00 27/02/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RNC ai: 107 vo: 5.0625 vu: ml t0: [16:00:00 27/02/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RNC vo: 170 vu: ml
t0: [16:00:00 27/02/2017] id: Propofol el: 1 cu: MICU-A cg: RNC so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [21:00:00 27/02/2017] pt: Unit Dose rt: IV fr: ONCE fs: 17 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm tf: [01:00:00 02/03/2017] pt: Unit Dose rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) v1: 1000 u1: mg tf: [07:00:00 07/03/2017] pt: IV Piggyback rt: IV fr: Q8H fs: 17, 1, 9 dn: 3 m1: Acyclovir v1: 800 u1: mg m2: D5W v2: 150 u2: ml
t0: [17:00:00 27/02/2017] id: Pain Present el: 0 cu: MICU-A cg: RNC v1: No st: NotStopd t0: [17:00:00 27/02/2017] id: Service Type el: 0 cu: MICU-A cg: RNC v1: MICU st: NotStopd t0: [17:00:00 27/02/2017] id: Code Status el: 0 cu: MICU-A cg: RNC v1: Full Code st: NotStopd t0: [17:00:00 27/02/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RNC v1: Sedated st: NotStopd t0: [17:00:00 27/02/2017] id: Diet Type el: 0 cu: MICU-A cg: RNC v1: NPO st: NotStopd t0: [17:00:00 27/02/2017] id: ETT Mark/Location el: 0 cu: MICU-A cg: RNC v1: 25cm v2: Lip st: NotStopd t0: [17:00:00 27/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RNC v1: None st: NotStopd t0: [17:00:00 27/02/2017] id: FiO2 Set el: 0 cu: MICU-A cg: RNC v1: 0.6 u1: torr st: NotStopd t0: [17:00:00 27/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RNC v1: 84 u1: BPM st: NotStopd t0: [17:00:00 27/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RNC v1: Normal Sinus st: NotStopd t0: [17:00:00 27/02/2017] id: Airway Size el: 0 cu: MICU-A cg: RNC v1: 8.0 mm st: NotStopd t0: [17:00:00 27/02/2017] id: Airway Type el: 0 cu: MICU-A cg: RNC v1: Endotracheal st: NotStopd t0: [17:00:00 27/02/2017] id: Intubation Date el: 0 cu: MICU-A cg: RNC v1: 1 v2: 19 st: NotStopd t0: [17:00:00 27/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RNC v1: 171 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [17:00:00 27/02/2017] id: Pain Location el: 0 cu: MICU-A cg: RNC v1: Not Indicated st: NotStopd t0: [17:00:00 27/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RNC v1: 110 u1: mmHg st: NotStopd t0: [17:00:00 27/02/2017] id: Precautions el: 0 cu: MICU-A cg: RNC v1: Airborne/Resp st: NotStopd t0: [17:00:00 27/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RNC v1: 112.5 u1: kg st: NotStopd t0: [17:00:00 27/02/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RNC v1: Regular st: NotStopd t0: [17:00:00 27/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RNC v1: 14 u1: BPM st: NotStopd t0: [17:00:00 27/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RNC v1: 100 u1: % st: NotStopd t0: [17:00:00 27/02/2017] id: Urine Source el: 0 cu: MICU-A cg: RNC v1: Indwelling Cath st: NotStopd t0: [17:00:00 27/02/2017] id: Ventilator Type el: 0 cu: MICU-A cg: RNC v1: Drager st: NotStopd t0: [17:00:00 27/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RNC v1: 1 u1: kg st: NotStopd
t0: [17:00:00 27/02/2017] tf: [16:01:00 02/03/2017] dt: 4261 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RNC ai: 107 vo: 100 vu: ml t0: [17:00:00 27/02/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RNC ai: 107 vo: 20.25 vu: ml t0: [17:00:00 27/02/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RNC vo: 140 vu: ml
t0: [17:00:00 27/02/2017] id: Propofol el: 1 cu: MICU-A cg: RNC so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:00:00 27/02/2017] id: Service Type el: 0 cu: MICU-A cg: RNC v1: MICU st: NotStopd t0: [18:00:00 27/02/2017] id: Code Status el: 0 cu: MICU-A cg: RNC v1: Full Code st: NotStopd t0: [18:00:00 27/02/2017] id: Communication el: 0 cu: MICU-A cg: RNC v1: Other/Remarks st: NotStopd t0: [18:00:00 27/02/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RNC v1: Calm/Cooperative st: NotStopd t0: [18:00:00 27/02/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RNC v1: H2 Blocker st: NotStopd t0: [18:00:00 27/02/2017] id: Diet Type el: 0 cu: MICU-A cg: RNC v1: NPO st: NotStopd t0: [18:00:00 27/02/2017] id: ETT Mark/Location el: 0 cu: MICU-A cg: RNC v1: 25cm v2: Lip st: NotStopd t0: [18:00:00 27/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RNC v1: None st: NotStopd t0: [18:00:00 27/02/2017] id: Eye Opening el: 0 cu: MICU-A cg: RNC v1: 2 To pain st: NotStopd t0: [18:00:00 27/02/2017] id: FiO2 Set el: 0 cu: MICU-A cg: RNC v1: 0.6 u1: torr st: NotStopd t0: [18:00:00 27/02/2017] id: Follows Commands el: 0 cu: MICU-A cg: RNC v1: No st: NotStopd t0: [18:00:00 27/02/2017] id: GCS Total el: 0 cu: MICU-A cg: RNC v1: 8 u1: points st: NotStopd t0: [18:00:00 27/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RNC v1: 86 u1: BPM st: NotStopd t0: [18:00:00 27/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RNC v1: Normal Sinus st: NotStopd t0: [18:00:00 27/02/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RNC v1: Soft st: NotStopd t0: [18:00:00 27/02/2017] id: Airway Size el: 0 cu: MICU-A cg: RNC v1: 8.0 mm st: NotStopd t0: [18:00:00 27/02/2017] id: Airway Type el: 0 cu: MICU-A cg: RNC v1: Endotracheal st: NotStopd t0: [18:00:00 27/02/2017] id: Intubation Date el: 0 cu: MICU-A cg: RNC v1: 1 v2: 19 st: NotStopd t0: [18:00:00 27/02/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RNC v1: Arouse to Voice st: NotStopd t0: [18:00:00 27/02/2017] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RNC v1: 9.32 u1: L/min st: NotStopd t0: [18:00:00 27/02/2017] id: Motor Response el: 0 cu: MICU-A cg: RNC v1: 5 Localizes Pain st: NotStopd t0: [18:00:00 27/02/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RNC v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 27/02/2017] id: Orientation el: 0 cu: MICU-A cg: RNC v1: Other/Remarks st: NotStopd t0: [18:00:00 27/02/2017] id: PEEP Set el: 0 cu: MICU-A cg: RNC v1: 5 u1: cmH2O st: NotStopd t0: [18:00:00 27/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RNC v1: 178 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [18:00:00 27/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RNC v1: 116 u1: mmHg st: NotStopd t0: [18:00:00 27/02/2017] id: Precautions el: 0 cu: MICU-A cg: RNC v1: Airborne/Resp st: NotStopd t0: [18:00:00 27/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RNC v1: 112.5 u1: kg st: NotStopd t0: [18:00:00 27/02/2017] id: Pupil Response R/L el: 0 cu: MICU-A cg: RNC v1: Brisk v2: Brisk st: NotStopd t0: [18:00:00 27/02/2017] id: Pupil Size R/L el: 0 cu: MICU-A cg: RNC v1: 3 mm v2: 3 mm st: NotStopd t0: [18:00:00 27/02/2017] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RNC v1: 6 u1: BPM st: NotStopd t0: [18:00:00 27/02/2017] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RNC v1: 20 u1: BPM st: NotStopd t0: [18:00:00 27/02/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RNC v1: Regular st: NotStopd t0: [18:00:00 27/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RNC v1: 14 u1: BPM st: NotStopd t0: [18:00:00 27/02/2017] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RNC v1: 14 u1: BPM st: NotStopd t0: [18:00:00 27/02/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RNC v1: Nail Bed v2: Withdraws st: NotStopd t0: [18:00:00 27/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RNC v1: 100 u1: % st: NotStopd t0: [18:00:00 27/02/2017] id: Speech el: 0 cu: MICU-A cg: RNC v1: Intubated/trach st: NotStopd t0: [18:00:00 27/02/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RNC v1: Purposeful st: NotStopd t0: [18:00:00 27/02/2017] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RNC v1: 590 u1: ml/B st: NotStopd t0: [18:00:00 27/02/2017] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RNC v1: 600 u1: ml/B st: NotStopd t0: [18:00:00 27/02/2017] id: Urine Source el: 0 cu: MICU-A cg: RNC v1: Indwelling Cath st: NotStopd t0: [18:00:00 27/02/2017] id: Ventilator Mode el: 0 cu: MICU-A cg: RNC v1: Assist Control st: NotStopd t0: [18:00:00 27/02/2017] id: Ventilator Type el: 0 cu: MICU-A cg: RNC v1: Drager st: NotStopd t0: [18:00:00 27/02/2017] id: Verbal Response el: 0 cu: MICU-A cg: RNC v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 27/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RNC v1: 1 u1: kg st: NotStopd t0: [18:00:00 27/02/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RNC v1: Hypoactive st: NotStopd
t0: [18:00:00 27/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RNC ai: 107 vo: 100 vu: ml t0: [18:00:00 27/02/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RNC ai: 107 vo: 20.25 vu: ml t0: [18:00:00 27/02/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RNC vo: 210 vu: ml
t0: [18:00:00 27/02/2017] id: Propofol el: 1 cu: MICU-A cg: RNC so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:00:00 27/02/2017] id: Cerv Collar Status el: 0 cu: MICU-A cg: RNC v1: On st: NotStopd t0: [16:00:00 27/02/2017] id: Cerv Collar Status el: 0 cu: MICU-A cg: RNC v1: On st: NotStopd t0: [17:00:00 27/02/2017] id: Cerv Collar Status el: 0 cu: MICU-A cg: RNC v1: On st: NotStopd t0: [18:00:00 27/02/2017] id: Cerv Collar Status el: 0 cu: MICU-A cg: RNC v1: On st: NotStopd
t0: [18:48:00 27/02/2017] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.39 rs: Final st: NotStopd t0: [18:48:00 27/02/2017] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 3 rs: Final st: NotStopd t0: [18:48:00 27/02/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [18:48:00 27/02/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [18:48:00 27/02/2017] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 149 u1: mmHg rs: Final st: NotStopd t0: [18:48:00 27/02/2017] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.39 rs: Final st: NotStopd t0: [18:48:00 27/02/2017] id: SaO2 ABG's el: 0 cu: MICU-A cg: 1663 v1: 98 u1: % rs: Final st: NotStopd
t0: [20:00:00 27/02/2017] id: Communication el: 0 cu: MICU-A cg: -1 st: D/C'd
tf: [17:00:00 02/03/2017] pt: IV Piggyback rt: IV fr: Q24H fs: 20 dn: 1 m1: Ceftriaxone v1: 2 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml
t0: [20:00:00 27/02/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 27/02/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 27/02/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 27/02/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 27/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 27/02/2017] id: Cerv Collar Status el: 0 cu: MICU-A cg: RN v1: On st: NotStopd t0: [20:00:00 27/02/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 27/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 27/02/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 27/02/2017] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 27/02/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 27/02/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 27/02/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 27/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 27/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 27/02/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [20:00:00 27/02/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 27/02/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 27/02/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 27/02/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [20:00:00 27/02/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 27/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [20:00:00 27/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 27/02/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 27/02/2017] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 27/02/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [20:00:00 27/02/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 27/02/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 27/02/2017] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 27/02/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [20:00:00 27/02/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 27/02/2017] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [20:00:00 27/02/2017] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Post Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 27/02/2017] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [20:00:00 27/02/2017] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [20:00:00 27/02/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 27/02/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 27/02/2017] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 27/02/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 27/02/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 27/02/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 27/02/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 27/02/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 27/02/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 27/02/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 27/02/2017] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 27/02/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 27/02/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 27/02/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 27/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 180 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [20:00:00 27/02/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 27/02/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [20:00:00 27/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg st: NotStopd t0: [20:00:00 27/02/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [20:00:00 27/02/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 27/02/2017] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 27/02/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 27/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [20:00:00 27/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [20:00:00 27/02/2017] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 27/02/2017] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [20:00:00 27/02/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 27/02/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 27/02/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 27/02/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 27/02/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 27/02/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 27/02/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 27/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [20:00:00 27/02/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [20:00:00 27/02/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 27/02/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 27/02/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 27/02/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 27/02/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 27/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 27/02/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 27/02/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 27/02/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 27/02/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 27/02/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 38.1667 u1: Deg. C st: NotStopd t0: [20:00:00 27/02/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.7 u1: Deg. F st: NotStopd t0: [20:00:00 27/02/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Logroll st: NotStopd t0: [20:00:00 27/02/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 27/02/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 27/02/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 27/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 27/02/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 27/02/2017] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 27/02/2017] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 27/02/2017] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 27/02/2017] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 27/02/2017] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [20:00:00 27/02/2017] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [20:00:00 27/02/2017] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 27/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [20:00:00 27/02/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40.5 vu: ml t0: [20:00:00 27/02/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 500 vu: ml
t0: [20:00:00 27/02/2017] 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: [20:34:00 27/02/2017] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 30 u1: ml/cmH st: NotStopd t0: [20:34:00 27/02/2017] id: high min. vol. el: 0 cu: MICU-A cg: RRT v1: 12 t0: [20:34:00 27/02/2017] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [20:34:00 27/02/2017] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [20:34:00 27/02/2017] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [20:34:00 27/02/2017] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:34:00 27/02/2017] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3 st: NotStopd t0: [20:34:00 27/02/2017] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [20:34:00 27/02/2017] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [20:34:00 27/02/2017] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 1 v2: 19 st: NotStopd t0: [20:34:00 27/02/2017] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [20:34:00 27/02/2017] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:34:00 27/02/2017] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8 u1: L/min st: NotStopd t0: [20:34:00 27/02/2017] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:34:00 27/02/2017] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [20:34:00 27/02/2017] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [20:34:00 27/02/2017] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [20:34:00 27/02/2017] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:34:00 27/02/2017] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:34:00 27/02/2017] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:34:00 27/02/2017] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:34:00 27/02/2017] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [20:34:00 27/02/2017] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [20:34:00 27/02/2017] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [20:34:00 27/02/2017] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [20:34:00 27/02/2017] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
io: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ra: 10 ru: ml/hr
tf: [16:00:00 02/03/2017] pt: IV Piggyback rt: IV fr: Q12H fs: 21, 9 dn: 2 m1: Famotidine v1: 20 u1: mg m2: Iso-Osmotic Sodium Chloride v2: 50 u2: ml
id: .9% Normal Saline el: 2 cu: MICU-A cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [21:00:00 27/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 27/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 27/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 27/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 27/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 95 u1: BPM st: NotStopd t0: [21:00:00 27/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 27/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 179 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [21:00:00 27/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 120 u1: mmHg st: NotStopd t0: [21:00:00 27/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [21:00:00 27/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [21:00:00 27/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:00:00 27/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 27/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 27/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [21:00:00 27/02/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20.25 vu: ml t0: [21:00:00 27/02/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [21:00:00 27/02/2017] 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: [22:00:00 27/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 27/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 27/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 27/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 27/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [22:00:00 27/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 27/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 174 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [22:00:00 27/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg st: NotStopd t0: [22:00:00 27/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [22:00:00 27/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [22:00:00 27/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 27/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 27/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 27/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [22:00:00 27/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [22:00:00 27/02/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20.25 vu: ml t0: [22:00:00 27/02/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [22:00:00 27/02/2017] 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: [23:00:00 27/02/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 27/02/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 27/02/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 1176.56 ap: none t0: [23:00:00 27/02/2017] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 1176.56 ap: none t0: [23:00:00 27/02/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1440 ap: none t0: [23:00:00 27/02/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: -3513.44 ap: none t0: [23:00:00 27/02/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 4690 ap: none t0: [23:00:00 27/02/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: -3513.44 ap: none
tf: [09:00:00 28/02/2017] pt: IV Piggyback rt: IV fr: Q24H fs: 22 dn: 1 m1: Pantoprazole Sodium v1: 40 u1: mg m2: NS v2: 100 u2: ml tf: [16:00:00 02/03/2017] pt: Unit Dose rt: NU fr: BID fs: 10, 22 dn: 2 m1: Oxymetazoline HCl v1: 1 u1: SPRY
t0: [22:00:00 27/02/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 130 rs: Manual st: NotStopd
t0: [22:51:00 27/02/2017] id: BSA el: 1033 cu: MICU-A cg: -1 t0: [22:51:00 27/02/2017] id: Admit Wt el: 1032 cu: MICU-A cg: -1 v1: 112.5 u1: kg t0: [22:51:00 27/02/2017] id: Allergy 1 el: 1020 cu: MICU-A cg: -1 v1: No Known Drug Allergies t0: [22:51:00 27/02/2017] id: Diagnosis/op el: 1023 cu: MICU-A cg: -1 v1: MVA t0: [22:51:00 27/02/2017] id: Service el: 1026 cu: MICU-A cg: -1 v1: MED t0: [22:51:00 27/02/2017] id: Admit Ht el: 1034 cu: MICU-A cg: -1 t0: [22:51:00 27/02/2017] id: Readmission el: 1014 cu: MICU-A cg: -1 t0: [22:51:00 27/02/2017] id: Marital Status el: 1006 cu: MICU-A cg: -1 v1: M t0: [22:51:00 27/02/2017] id: Religion el: 1000 cu: MICU-A cg: -1 v1: U t0: [22:51:00 27/02/2017] id: Allergy 2 el: 1021 cu: MICU-A cg: -1 t0: [22:51:00 27/02/2017] id: Ext el: 1010 cu: MICU-A cg: -1 t0: [22:51:00 27/02/2017] id: PIN el: 1012 cu: MICU-A cg: -1 t0: [22:51:00 27/02/2017] id: Allergy 3 el: 1022 cu: MICU-A cg: -1
t0: [23:00:00 27/02/2017] id: Pre-Admission Output Pre-Admission Output el: 1 cu: MICU-A cg: -1 vo: 0 st: D/C'd
t0: [23:30:00 27/02/2017] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 30 u1: ml/cmH st: NotStopd t0: [23:30:00 27/02/2017] id: high min. vol. el: 0 cu: MICU-A cg: RRT v1: 12 t0: [23:30:00 27/02/2017] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [23:30:00 27/02/2017] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [23:30:00 27/02/2017] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [23:30:00 27/02/2017] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [23:30:00 27/02/2017] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1;3.5 st: NotStopd t0: [23:30:00 27/02/2017] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [23:30:00 27/02/2017] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [23:30:00 27/02/2017] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [23:30:00 27/02/2017] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 1 v2: 19 st: NotStopd t0: [23:30:00 27/02/2017] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [23:30:00 27/02/2017] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [23:30:00 27/02/2017] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.2 u1: L/min st: NotStopd t0: [23:30:00 27/02/2017] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [23:30:00 27/02/2017] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [23:30:00 27/02/2017] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [23:30:00 27/02/2017] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [23:30:00 27/02/2017] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 6 u1: BPM st: NotStopd t0: [23:30:00 27/02/2017] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [23:30:00 27/02/2017] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [23:30:00 27/02/2017] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [23:30:00 27/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [23:30:00 27/02/2017] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 795 u1: ml/B st: NotStopd t0: [23:30:00 27/02/2017] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [23:30:00 27/02/2017] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [23:30:00 27/02/2017] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [23:30:00 27/02/2017] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [23:00:00 27/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 27/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 27/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 27/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 27/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 103 u1: BPM st: NotStopd t0: [23:00:00 27/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 27/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 172 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [23:00:00 27/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg st: NotStopd t0: [23:00:00 27/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [23:00:00 27/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [23:00:00 27/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:00:00 27/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 27/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 28/02/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [00:00:00 28/02/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 28/02/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 28/02/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 28/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 28/02/2017] id: Cerv Collar Status el: 0 cu: MICU-A cg: RN v1: On st: NotStopd t0: [00:00:00 28/02/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 28/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 28/02/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 28/02/2017] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 28/02/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker v2: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 28/02/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 28/02/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 28/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 28/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 28/02/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [00:00:00 28/02/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 28/02/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 28/02/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 28/02/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [00:00:00 28/02/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 28/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 90 u1: BPM st: NotStopd t0: [00:00:00 28/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 28/02/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 28/02/2017] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 28/02/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [00:00:00 28/02/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/02/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 28/02/2017] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 28/02/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [00:00:00 28/02/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 28/02/2017] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [00:00:00 28/02/2017] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Post Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 28/02/2017] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [00:00:00 28/02/2017] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [00:00:00 28/02/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 28/02/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/02/2017] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/02/2017] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/02/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 28/02/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 28/02/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 28/02/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 28/02/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 28/02/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 28/02/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 28/02/2017] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 28/02/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 28/02/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 28/02/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 28/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 158 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [00:00:00 28/02/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 28/02/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [00:00:00 28/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg st: NotStopd t0: [00:00:00 28/02/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 28/02/2017] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 28/02/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 28/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [00:00:00 28/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [00:00:00 28/02/2017] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 28/02/2017] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 28/02/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 28/02/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 28/02/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 28/02/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 28/02/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 28/02/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 28/02/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 28/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 28/02/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [00:00:00 28/02/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 28/02/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 28/02/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 28/02/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 28/02/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 28/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 28/02/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 28/02/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 28/02/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 28/02/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Logroll st: NotStopd t0: [00:00:00 28/02/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 28/02/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 28/02/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 28/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 28/02/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 28/02/2017] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 28/02/2017] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 28/02/2017] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 28/02/2017] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 28/02/2017] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [00:00:00 28/02/2017] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [00:00:00 28/02/2017] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [00:00:00 28/02/2017] tf: [16:01:00 02/03/2017] dt: 3841 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [00:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 28/02/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40.5 vu: ml t0: [00:00:00 28/02/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 390 vu: ml
t0: [23:00:00 27/02/2017] 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: [00:00:00 28/02/2017] 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: [00:00:00 28/02/2017] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [00:00:00 28/02/2017] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [00:00:00 28/02/2017] id: Procedures el: 0 cu: MICU-A cg: RN v1: Lumbar Puncture st: NotStopd t0: [00:00:00 28/02/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 28/02/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [00:00:00 28/02/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [01:00:00 28/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 28/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 28/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 28/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 28/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [01:00:00 28/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 28/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [01:00:00 28/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg st: NotStopd t0: [01:00:00 28/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [01:00:00 28/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [01:00:00 28/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:00:00 28/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 28/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 28/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 28/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 28/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 28/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 28/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 86 u1: BPM st: NotStopd t0: [02:00:00 28/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 28/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [02:00:00 28/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg st: NotStopd t0: [02:00:00 28/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [02:00:00 28/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [02:00:00 28/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 28/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 28/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [02:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 28/02/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 40.5 vu: ml t0: [02:00:00 28/02/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 600 vu: ml
t0: [01:00:00 28/02/2017] 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: [02:00:00 28/02/2017] 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 28/02/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 300 cv: 300 ap: none t0: [23:00:00 28/02/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: -56.5 cv: -56.5 ap: none t0: [23:00:00 28/02/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 243.5 cv: 4580.5 ap: none t0: [23:00:00 28/02/2017] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 243.5 cv: 4580.5 ap: none t0: [23:00:00 28/02/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 300 cv: 4130 ap: none t0: [23:00:00 28/02/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: -56.5 cv: 450.5 ap: none t0: [23:00:00 28/02/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 300 cv: 4130 ap: none t0: [23:00:00 28/02/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: -56.5 cv: -3062.94 ap: none
t0: [00:00:00 28/02/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [03:00:00 28/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 28/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 28/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 28/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 28/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 85 u1: BPM st: NotStopd t0: [03:00:00 28/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 28/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [03:00:00 28/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg st: NotStopd t0: [03:00:00 28/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [03:00:00 28/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [03:00:00 28/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:00:00 28/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 28/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 28/02/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [04:00:00 28/02/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 28/02/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 28/02/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 28/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 28/02/2017] id: Cerv Collar Status el: 0 cu: MICU-A cg: RN v1: On st: NotStopd t0: [04:00:00 28/02/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 28/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 28/02/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 28/02/2017] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 28/02/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker v2: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 28/02/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 28/02/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 28/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 28/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 28/02/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [04:00:00 28/02/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 28/02/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 28/02/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 28/02/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 7 u1: points st: NotStopd t0: [04:00:00 28/02/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 28/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [04:00:00 28/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 28/02/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 28/02/2017] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 28/02/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [04:00:00 28/02/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 28/02/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [04:00:00 28/02/2017] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 28/02/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [04:00:00 28/02/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 28/02/2017] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [04:00:00 28/02/2017] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Post Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 28/02/2017] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [04:00:00 28/02/2017] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [04:00:00 28/02/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 28/02/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 28/02/2017] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 28/02/2017] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 28/02/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 28/02/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 28/02/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 28/02/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 28/02/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 28/02/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 28/02/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 28/02/2017] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 28/02/2017] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 28/02/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 28/02/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 28/02/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 28/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [04:00:00 28/02/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 28/02/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [04:00:00 28/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [04:00:00 28/02/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [04:00:00 28/02/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 28/02/2017] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 28/02/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 28/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [04:00:00 28/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [04:00:00 28/02/2017] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 28/02/2017] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 28/02/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 28/02/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 28/02/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 28/02/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 28/02/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 28/02/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 28/02/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 28/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [04:00:00 28/02/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [04:00:00 28/02/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 28/02/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 28/02/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 28/02/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 28/02/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 28/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 28/02/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 28/02/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 28/02/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 28/02/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 28/02/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [04:00:00 28/02/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [04:00:00 28/02/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Logroll st: NotStopd t0: [04:00:00 28/02/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 28/02/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 28/02/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 28/02/2017] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 28/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 28/02/2017] id: Bath el: 1 cu: MICU-A cg: RN v1: Done t0: [04:00:00 28/02/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 127 rs: Manual st: NotStopd t0: [04:00:00 28/02/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [04:00:00 28/02/2017] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 28/02/2017] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 28/02/2017] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 28/02/2017] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 28/02/2017] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [04:00:00 28/02/2017] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [04:00:00 28/02/2017] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [04:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [04:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 28/02/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 33.75 vu: ml t0: [04:00:00 28/02/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 550 vu: ml
t0: [03:00:00 28/02/2017] 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: [04:00:00 28/02/2017] 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: [04:00:00 28/02/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.2 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.2 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 37.1 u1: % rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 12.3 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 148 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 4.34 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.2 rs: Final st: NotStopd
t0: [04:00:00 28/02/2017] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 27.2727 u1: ml/cmH st: NotStopd t0: [04:00:00 28/02/2017] id: RSBI Not Completed el: 0 cu: MICU-A cg: RRT v1: No Spon Resp st: NotStopd t0: [04:00:00 28/02/2017] id: high min. vol. el: 0 cu: MICU-A cg: RRT v1: 12 t0: [04:00:00 28/02/2017] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [04:00:00 28/02/2017] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 28/02/2017] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [04:00:00 28/02/2017] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 28/02/2017] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.5 st: NotStopd t0: [04:00:00 28/02/2017] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 28/02/2017] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 28/02/2017] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [04:00:00 28/02/2017] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 1 v2: 19 st: NotStopd t0: [04:00:00 28/02/2017] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [04:00:00 28/02/2017] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [04:00:00 28/02/2017] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.4 u1: L/min st: NotStopd t0: [04:00:00 28/02/2017] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 28/02/2017] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [04:00:00 28/02/2017] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [04:00:00 28/02/2017] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [04:00:00 28/02/2017] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 5 u1: BPM st: NotStopd t0: [04:00:00 28/02/2017] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [04:00:00 28/02/2017] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 28/02/2017] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 28/02/2017] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 544 u1: ml/B st: NotStopd t0: [04:00:00 28/02/2017] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:00:00 28/02/2017] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 28/02/2017] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [04:00:00 28/02/2017] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 28/02/2017] id: PT el: 0 cu: MICU-A cg: 1663 v1: 13 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: INR Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: PTT Coags el: 0 cu: MICU-A cg: 1663 v1: 26.8 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: INR (2-4 ref. range) Coags el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: PT(11-13.5) Coags el: 0 cu: MICU-A cg: 1663 v1: 13 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: PTT(22-35) Coags el: 0 cu: MICU-A cg: 1663 v1: 26.8 rs: Final st: NotStopd
t0: [04:00:00 28/02/2017] id: Differential-Bands Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0.1 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.9 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 5.3 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 80.8 rs: Final st: NotStopd
t0: [04:00:00 28/02/2017] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 6 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Albumin Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 107 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 121 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Total Bili Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.5 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: ALT Enzymes el: 0 cu: MICU-A cg: 1663 v1: 33 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: AST Enzymes el: 0 cu: MICU-A cg: 1663 v1: 26 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Albumin (>3.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.5 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Alk. Phosphate Enzymes el: 0 cu: MICU-A cg: 1663 v1: 60 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 6 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 107 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 121 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: LDH Enzymes el: 0 cu: MICU-A cg: 1663 v1: 396 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.2 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 4 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd t0: [04:00:00 28/02/2017] id: Total Bili (0-1.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.5 rs: Final st: NotStopd
t0: [05:00:00 28/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 28/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 28/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 28/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 28/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [05:00:00 28/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 28/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 171 u1: mmHg v2: 94 u2: mmHg st: NotStopd t0: [05:00:00 28/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 121 u1: mmHg st: NotStopd t0: [05:00:00 28/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [05:00:00 28/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [05:00:00 28/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [05:00:00 28/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 28/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 28/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 28/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 28/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 28/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 28/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 84 u1: BPM st: NotStopd t0: [06:00:00 28/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 28/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 161 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [06:00:00 28/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg st: NotStopd t0: [06:00:00 28/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [06:00:00 28/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [06:00:00 28/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [06:00:00 28/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 28/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [06:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 28/02/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 33.75 vu: ml t0: [06:00:00 28/02/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 150 vu: ml
t0: [05:00:00 28/02/2017] 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: [06:00:00 28/02/2017] 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: [07:00:00 28/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 28/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 28/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 28/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 28/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [07:00:00 28/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 28/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [07:00:00 28/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [07:00:00 28/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [07:00:00 28/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [07:00:00 28/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 14 u1: BPM st: NotStopd t0: [07:00:00 28/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 28/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 28/02/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [08:00:00 28/02/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 28/02/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 28/02/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 28/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 28/02/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 28/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 28/02/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 28/02/2017] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 28/02/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker v2: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 28/02/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 28/02/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 28/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 28/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 28/02/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [08:00:00 28/02/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 28/02/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 28/02/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 28/02/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 28/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [08:00:00 28/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 28/02/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 28/02/2017] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 28/02/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [08:00:00 28/02/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 28/02/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [08:00:00 28/02/2017] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 28/02/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [08:00:00 28/02/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 28/02/2017] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [08:00:00 28/02/2017] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Post Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 28/02/2017] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [08:00:00 28/02/2017] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [08:00:00 28/02/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 28/02/2017] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 28/02/2017] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 28/02/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 28/02/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 28/02/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 28/02/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 28/02/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 28/02/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 28/02/2017] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 28/02/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 28/02/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 28/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [08:00:00 28/02/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 28/02/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [08:00:00 28/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [08:00:00 28/02/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 28/02/2017] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 28/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [08:00:00 28/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [08:00:00 28/02/2017] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 28/02/2017] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 28/02/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 28/02/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 28/02/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 28/02/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 28/02/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 28/02/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 28/02/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 28/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 15 u1: BPM st: NotStopd t0: [08:00:00 28/02/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 28/02/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 28/02/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 28/02/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 28/02/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 28/02/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 28/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 28/02/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 28/02/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 28/02/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 28/02/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 28/02/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [08:00:00 28/02/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [08:00:00 28/02/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 28/02/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 28/02/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 28/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 28/02/2017] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [08:00:00 28/02/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 28/02/2017] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 28/02/2017] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 28/02/2017] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 28/02/2017] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 28/02/2017] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 28/02/2017] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [08:00:00 28/02/2017] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [08:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 28/02/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 27 vu: ml t0: [08:00:00 28/02/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [07:00:00 28/02/2017] 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 28/02/2017] 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: [08:05:00 28/02/2017] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: RRT v1: 30 u1: ml/cmH st: NotStopd t0: [08:05:00 28/02/2017] id: high min. vol. el: 0 cu: MICU-A cg: RRT v1: 12 t0: [08:05:00 28/02/2017] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [08:05:00 28/02/2017] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:05:00 28/02/2017] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [08:05:00 28/02/2017] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:05:00 28/02/2017] id: I:E Ratio el: 0 cu: MICU-A cg: RRT v1: 1:3.5 st: NotStopd t0: [08:05:00 28/02/2017] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [08:05:00 28/02/2017] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [08:05:00 28/02/2017] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 1 v2: 19 st: NotStopd t0: [08:05:00 28/02/2017] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [08:05:00 28/02/2017] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:05:00 28/02/2017] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 9.91 u1: L/min st: NotStopd t0: [08:05:00 28/02/2017] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:05:00 28/02/2017] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [08:05:00 28/02/2017] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [08:05:00 28/02/2017] id: Plateau Pressure el: 0 cu: MICU-A cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [08:05:00 28/02/2017] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 3 u1: BPM st: NotStopd t0: [08:05:00 28/02/2017] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 17 u1: BPM st: NotStopd t0: [08:05:00 28/02/2017] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 14 u1: BPM st: NotStopd t0: [08:05:00 28/02/2017] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:05:00 28/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [08:05:00 28/02/2017] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: RRT v1: 595 u1: ml/B st: NotStopd t0: [08:05:00 28/02/2017] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [08:05:00 28/02/2017] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Assist Control st: NotStopd t0: [08:05:00 28/02/2017] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [08:05:00 28/02/2017] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [10:00:00 28/02/2017] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [10:00:00 28/02/2017] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [10:00:00 28/02/2017] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [10:00:00 28/02/2017] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [10:00:00 28/02/2017] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: L/min st: NotStopd t0: [10:00:00 28/02/2017] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [10:00:00 28/02/2017] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [10:00:00 28/02/2017] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [10:00:00 28/02/2017] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [10:00:00 28/02/2017] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [10:00:00 28/02/2017] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [10:00:00 28/02/2017] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 340 u1: ml/B st: NotStopd t0: [10:00:00 28/02/2017] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [10:00:00 28/02/2017] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [10:00:00 28/02/2017] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 28/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 28/02/2017] id: Cerv Collar Status el: 0 cu: MICU-A cg: RN v1: On st: NotStopd t0: [09:00:00 28/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 28/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 28/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 28/02/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 15 degrees st: NotStopd t0: [09:00:00 28/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [09:00:00 28/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 28/02/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 28/02/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 28/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [09:00:00 28/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [09:00:00 28/02/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [09:00:00 28/02/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 28/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [09:00:00 28/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [09:00:00 28/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 7 u1: BPM st: NotStopd t0: [09:00:00 28/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 28/02/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Logroll st: NotStopd t0: [09:00:00 28/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 28/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 28/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 28/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 28/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 28/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 93 u1: BPM st: NotStopd t0: [10:00:00 28/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 28/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [10:00:00 28/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 103 u1: mmHg st: NotStopd t0: [10:00:00 28/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [10:00:00 28/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [10:00:00 28/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 28/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 28/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 28/02/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 100 rs: Manual st: NotStopd
t0: [10:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [10:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 28/02/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 27 vu: ml t0: [10:00:00 28/02/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [09:00:00 28/02/2017] 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 28/02/2017] 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: [10:19:00 28/02/2017] id: Art.pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.4 rs: Final st: NotStopd t0: [10:19:00 28/02/2017] id: Arterial Base Excess ABG el: 0 cu: MICU-A cg: 1663 v1: 2 rs: Final st: NotStopd t0: [10:19:00 28/02/2017] id: Arterial CO2(Calc) ABG el: 0 cu: MICU-A cg: 1663 v1: 30 rs: Final st: NotStopd t0: [10:19:00 28/02/2017] id: Arterial PaCO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [10:19:00 28/02/2017] id: Arterial PaO2 ABG el: 0 cu: MICU-A cg: 1663 v1: 111 u1: mmHg rs: Final st: NotStopd t0: [10:19:00 28/02/2017] id: Arterial pH ABG el: 0 cu: MICU-A cg: 1663 v1: 7.4 rs: Final st: NotStopd t0: [10:19:00 28/02/2017] id: Ionized Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.1 rs: Final st: NotStopd
t0: [11:00:00 28/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 28/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 28/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 28/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 28/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 87 u1: BPM st: NotStopd t0: [11:00:00 28/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 28/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 159 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [11:00:00 28/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg st: NotStopd t0: [11:00:00 28/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [11:00:00 28/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [11:00:00 28/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 28/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 28/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [11:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 28/02/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6.75 vu: ml t0: [11:00:00 28/02/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 50 vu: ml
t0: [11:00:00 28/02/2017] 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: [11:50:00 28/02/2017] id: high min. vol. el: 0 cu: MICU-A cg: RRT v1: 12 t0: [11:50:00 28/02/2017] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [11:50:00 28/02/2017] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [11:50:00 28/02/2017] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 45 u1: cmH2O st: NotStopd t0: [11:50:00 28/02/2017] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [11:50:00 28/02/2017] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [11:50:00 28/02/2017] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [11:50:00 28/02/2017] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 1 v2: 19 st: NotStopd t0: [11:50:00 28/02/2017] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [11:50:00 28/02/2017] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [11:50:00 28/02/2017] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.15 u1: L/min st: NotStopd t0: [11:50:00 28/02/2017] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:50:00 28/02/2017] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [11:50:00 28/02/2017] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [11:50:00 28/02/2017] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [11:50:00 28/02/2017] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 22 u1: BPM st: NotStopd t0: [11:50:00 28/02/2017] id: Respiratory Rate Set el: 0 cu: MICU-A cg: RRT v1: 0 u1: BPM st: NotStopd t0: [11:50:00 28/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [11:50:00 28/02/2017] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 402 u1: ml/B st: NotStopd t0: [11:50:00 28/02/2017] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [11:50:00 28/02/2017] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [11:50:00 28/02/2017] id: Waveform-Vent el: 0 cu: MICU-A cg: RRT v1: RAMP st: NotStopd
t0: [10:00:00 28/02/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [10:00:00 28/02/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 28/02/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 28/02/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 28/02/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 28/02/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 28/02/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 28/02/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 28/02/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 28/02/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 28/02/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Incr Visibility st: NotStopd t0: [12:00:00 28/02/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 28/02/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 28/02/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 28/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 28/02/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 28/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 28/02/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [12:00:00 28/02/2017] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/O2 Issues st: NotStopd t0: [12:00:00 28/02/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 28/02/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 28/02/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 28/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 28/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 28/02/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [12:00:00 28/02/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 28/02/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 28/02/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 28/02/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 28/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 71 u1: BPM st: NotStopd t0: [12:00:00 28/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 28/02/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 28/02/2017] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 28/02/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [12:00:00 28/02/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 28/02/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [12:00:00 28/02/2017] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 28/02/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [12:00:00 28/02/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 28/02/2017] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [12:00:00 28/02/2017] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Post Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 28/02/2017] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [12:00:00 28/02/2017] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [12:00:00 28/02/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 28/02/2017] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 28/02/2017] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 28/02/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 28/02/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 28/02/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 28/02/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 28/02/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 28/02/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 28/02/2017] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 28/02/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 28/02/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 28/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 151 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [12:00:00 28/02/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 28/02/2017] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 28/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [12:00:00 28/02/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 28/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [12:00:00 28/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [12:00:00 28/02/2017] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 28/02/2017] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 28/02/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 28/02/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 28/02/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 28/02/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 28/02/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 28/02/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 28/02/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 28/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 28/02/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 28/02/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 28/02/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 28/02/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 28/02/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 28/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 28/02/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [12:00:00 28/02/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 28/02/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 28/02/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 28/02/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [12:00:00 28/02/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [12:00:00 28/02/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 28/02/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 28/02/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 28/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 28/02/2017] id: Behavior el: 0 cu: MICU-A cg: RN v1: Restless st: NotStopd t0: [12:00:00 28/02/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd
t0: [12:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [12:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 28/02/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6.75 vu: ml t0: [12:00:00 28/02/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml
t0: [12:00:00 28/02/2017] 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: [13:00:00 28/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 28/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 28/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 28/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 28/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [13:00:00 28/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 28/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 155 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [13:00:00 28/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg st: NotStopd t0: [13:00:00 28/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [13:00:00 28/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [13:00:00 28/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [13:00:00 28/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 28/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [13:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 28/02/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6.75 vu: ml t0: [13:00:00 28/02/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [13:00:00 28/02/2017] 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: [10:00:00 28/02/2017] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: XRAY st: NotStopd t0: [13:00:00 28/02/2017] id: Procedures el: 0 cu: MICU-A cg: RN v1: EEG st: NotStopd t0: [14:00:00 28/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 28/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 28/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 28/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 28/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [14:00:00 28/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 28/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [14:00:00 28/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg st: NotStopd t0: [14:00:00 28/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [14:00:00 28/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [14:00:00 28/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [14:00:00 28/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 28/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [14:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 28/02/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 6.75 vu: ml t0: [14:00:00 28/02/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 180 vu: ml
t0: [14:00:00 28/02/2017] 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: [09:00:00 28/02/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 28/02/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [13:00:00 28/02/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 28/02/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [13:00:00 28/02/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 28/02/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [13:00:00 28/02/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [13:00:00 28/02/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Logroll st: NotStopd
t0: [16:00:00 28/02/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 111 rs: Manual st: NotStopd
t0: [16:00:00 28/02/2017] id: high min. vol. el: 0 cu: MICU-A cg: RRT v1: 12 t0: [16:00:00 28/02/2017] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [16:00:00 28/02/2017] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 28/02/2017] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [16:00:00 28/02/2017] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [16:00:00 28/02/2017] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 28/02/2017] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 28/02/2017] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 1 v2: 19 st: NotStopd t0: [16:00:00 28/02/2017] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [16:00:00 28/02/2017] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [16:00:00 28/02/2017] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.5 u1: L/min st: NotStopd t0: [16:00:00 28/02/2017] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 28/02/2017] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [16:00:00 28/02/2017] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [16:00:00 28/02/2017] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:00:00 28/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 100 u1: % st: NotStopd t0: [16:00:00 28/02/2017] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 406 u1: ml/B st: NotStopd t0: [16:00:00 28/02/2017] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 28/02/2017] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [14:00:00 28/02/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [14:00:00 28/02/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 28/02/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 28/02/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 28/02/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 28/02/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 28/02/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 28/02/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 28/02/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 28/02/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 28/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 28/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 28/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 28/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 28/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [15:00:00 28/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 28/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 165 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [15:00:00 28/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg st: NotStopd t0: [15:00:00 28/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [15:00:00 28/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [15:00:00 28/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 28/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 28/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 28/02/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [16:00:00 28/02/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 28/02/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 28/02/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 28/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 28/02/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 28/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 28/02/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 28/02/2017] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/O2 Issues st: NotStopd t0: [16:00:00 28/02/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 28/02/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 28/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 28/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 28/02/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [16:00:00 28/02/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 28/02/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 28/02/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 28/02/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 28/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [16:00:00 28/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 28/02/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 28/02/2017] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 28/02/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [16:00:00 28/02/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 28/02/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [16:00:00 28/02/2017] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 28/02/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [16:00:00 28/02/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 28/02/2017] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [16:00:00 28/02/2017] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Post Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 28/02/2017] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [16:00:00 28/02/2017] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [16:00:00 28/02/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 28/02/2017] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 28/02/2017] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 28/02/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 28/02/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 28/02/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 28/02/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 28/02/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 28/02/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 28/02/2017] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 28/02/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 28/02/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 28/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [16:00:00 28/02/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 28/02/2017] id: Pain Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 28/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 101 u1: mmHg st: NotStopd t0: [16:00:00 28/02/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 28/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [16:00:00 28/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [16:00:00 28/02/2017] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 28/02/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 28/02/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 28/02/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 28/02/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 28/02/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 28/02/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 28/02/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 28/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [16:00:00 28/02/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 28/02/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 28/02/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 28/02/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 28/02/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 28/02/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [16:00:00 28/02/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 28/02/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 28/02/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 28/02/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [16:00:00 28/02/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [16:00:00 28/02/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 28/02/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 28/02/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 28/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 28/02/2017] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [16:00:00 28/02/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd
t0: [16:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [16:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 28/02/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 13.5 vu: ml t0: [16:00:00 28/02/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
t0: [15:00:00 28/02/2017] 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: [16:00:00 28/02/2017] 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: [04:00:00 28/02/2017] id: Dilantin Drug Level el: 0 cu: MICU-A cg: 1663 v1: 8.2 rs: Final st: NotStopd
t0: [16:00:00 28/02/2017] id: Cerv Collar Status el: 0 cu: MICU-A cg: RN v1: On st: NotStopd t0: [16:00:00 28/02/2017] id: Collar Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 28/02/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 28/02/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 28/02/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 28/02/2017] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 28/02/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 28/02/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [16:00:00 28/02/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 28/02/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Logroll st: NotStopd
t0: [17:00:00 28/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 28/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 28/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 28/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 28/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [17:00:00 28/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 28/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 169 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [17:00:00 28/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 117 u1: mmHg st: NotStopd t0: [17:00:00 28/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [17:00:00 28/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [17:00:00 28/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [17:00:00 28/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 28/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 28/02/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 28/02/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [18:00:00 28/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 28/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 28/02/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Agitated st: NotStopd t0: [18:00:00 28/02/2017] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/O2 Issues st: NotStopd t0: [18:00:00 28/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 28/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 28/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 92 u1: BPM st: NotStopd t0: [18:00:00 28/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 28/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 173 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [18:00:00 28/02/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [18:00:00 28/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 119 u1: mmHg st: NotStopd t0: [18:00:00 28/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [18:00:00 28/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [18:00:00 28/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [18:00:00 28/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 28/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [18:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 28/02/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 13.5 vu: ml t0: [18:00:00 28/02/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 210 vu: ml
t0: [17:00:00 28/02/2017] 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: [18:00:00 28/02/2017] 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: [18:00:00 28/02/2017] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: White v2: Thin st: NotStopd t0: [18:00:00 28/02/2017] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Scant st: NotStopd
t0: [16:00:00 28/02/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 28/02/2017] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd
t0: [20:00:00 28/02/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [20:00:00 28/02/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [20:00:00 28/02/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 28/02/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 28/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 28/02/2017] id: Cerv Collar Status el: 0 cu: MICU-A cg: RN v1: On st: NotStopd t0: [20:00:00 28/02/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 28/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 28/02/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 28/02/2017] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 28/02/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 28/02/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 28/02/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 28/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 28/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 28/02/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [20:00:00 28/02/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 28/02/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 28/02/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 28/02/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 28/02/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 28/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [20:00:00 28/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 28/02/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 28/02/2017] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 28/02/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [20:00:00 28/02/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 28/02/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [20:00:00 28/02/2017] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 28/02/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [20:00:00 28/02/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 28/02/2017] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [20:00:00 28/02/2017] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Post Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 28/02/2017] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [20:00:00 28/02/2017] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [20:00:00 28/02/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 28/02/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 28/02/2017] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 28/02/2017] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 28/02/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Fair st: NotStopd t0: [20:00:00 28/02/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 28/02/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 28/02/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 28/02/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 28/02/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 28/02/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 28/02/2017] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 28/02/2017] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 28/02/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 28/02/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 28/02/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 28/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [20:00:00 28/02/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [20:00:00 28/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg st: NotStopd t0: [20:00:00 28/02/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 28/02/2017] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 28/02/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 28/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [20:00:00 28/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [20:00:00 28/02/2017] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 28/02/2017] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 28/02/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 28/02/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 28/02/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 28/02/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 28/02/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 28/02/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 28/02/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 28/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 28/02/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 28/02/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 28/02/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 28/02/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 28/02/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 28/02/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 28/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 28/02/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [20:00:00 28/02/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 28/02/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 28/02/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 28/02/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [20:00:00 28/02/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [20:00:00 28/02/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 28/02/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 28/02/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 28/02/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 28/02/2017] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 28/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 28/02/2017] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [20:00:00 28/02/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 28/02/2017] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 28/02/2017] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 28/02/2017] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 28/02/2017] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 28/02/2017] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [20:00:00 28/02/2017] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [20:00:00 28/02/2017] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [20:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 28/02/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20.25 vu: ml t0: [20:00:00 28/02/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 200 vu: ml
t0: [20:00:00 28/02/2017] 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: [21:00:00 28/02/2017] id: high min. vol. el: 0 cu: MICU-A cg: RRT v1: 12 t0: [21:00:00 28/02/2017] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [21:00:00 28/02/2017] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [21:00:00 28/02/2017] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [21:00:00 28/02/2017] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [21:00:00 28/02/2017] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [21:00:00 28/02/2017] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 28/02/2017] id: Inspired Gas Temp el: 0 cu: MICU-A cg: RRT u1: Deg. C st: NotStopd t0: [21:00:00 28/02/2017] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 1 v2: 19 st: NotStopd t0: [21:00:00 28/02/2017] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 4.5 st: NotStopd t0: [21:00:00 28/02/2017] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [21:00:00 28/02/2017] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 7.8 u1: L/min st: NotStopd t0: [21:00:00 28/02/2017] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:00:00 28/02/2017] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [21:00:00 28/02/2017] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [21:00:00 28/02/2017] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 21 u1: BPM st: NotStopd t0: [21:00:00 28/02/2017] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:00:00 28/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [21:00:00 28/02/2017] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 390 u1: ml/B st: NotStopd t0: [21:00:00 28/02/2017] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [21:00:00 28/02/2017] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [21:00:00 28/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 28/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 28/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 28/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 28/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [21:00:00 28/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 28/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 159 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [21:00:00 28/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [21:00:00 28/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [21:00:00 28/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [21:00:00 28/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 28/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [21:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 28/02/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10.125 vu: ml nb: 1 t0: [21:00:00 28/02/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 260 vu: ml
t0: [21:00:00 28/02/2017] 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: [22:00:00 28/02/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: CoWker v1: 104 rs: Manual st: NotStopd
t0: [21:00:00 28/02/2017] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: XRAY st: NotStopd t0: [22:00:00 28/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 28/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 28/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 28/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 28/02/2017] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [22:00:00 28/02/2017] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [22:00:00 28/02/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Low Cont Suction v2: Yellow st: NotStopd t0: [22:00:00 28/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [22:00:00 28/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 28/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 163 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [22:00:00 28/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg st: NotStopd t0: [22:00:00 28/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [22:00:00 28/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [22:00:00 28/02/2017] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 28/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 28/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 28/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [22:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 28/02/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10.125 vu: ml t0: [22:00:00 28/02/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml
io: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ra: 10 ru: ml/hr
id: Promote w/fiber el: 1 cu: MICU-A cg: RN io: Promote w/fiber Tube Feeding du: str rt: Gastric/Feeding Tube id: GT Flush el: 1 cu: MICU-A cg: RN io: GT Flush PO/Gastric du: ml rt: Nasogastric id: TF Residual el: 1 cu: MICU-A cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [23:00:00 28/02/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [23:00:00 28/02/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 28/02/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 28/02/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [23:00:00 28/02/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 28/02/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 28/02/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 28/02/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 28/02/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [23:00:00 28/02/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 28/02/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 28/02/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 28/02/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 28/02/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 138 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [23:00:00 28/02/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 95 u1: mmHg st: NotStopd t0: [23:00:00 28/02/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [23:00:00 28/02/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 28/02/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 28/02/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [23:00:00 28/02/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [23:00:00 28/02/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [23:00:00 28/02/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 28/02/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [23:00:00 28/02/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [23:00:00 28/02/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [23:00:00 28/02/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [23:00:00 28/02/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 28/02/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 28/02/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [23:00:00 28/02/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 01/03/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 01/03/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [00:00:00 01/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 01/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 01/03/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [00:00:00 01/03/2017] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 01/03/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 01/03/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 01/03/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 01/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 01/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 01/03/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [00:00:00 01/03/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 01/03/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 01/03/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 01/03/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 01/03/2017] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 01/03/2017] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [00:00:00 01/03/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped st: NotStopd t0: [00:00:00 01/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [00:00:00 01/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 01/03/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 01/03/2017] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 01/03/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [00:00:00 01/03/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 01/03/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [00:00:00 01/03/2017] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 01/03/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [00:00:00 01/03/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 01/03/2017] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [00:00:00 01/03/2017] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Post Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 01/03/2017] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [00:00:00 01/03/2017] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [00:00:00 01/03/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 01/03/2017] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 01/03/2017] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 01/03/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 01/03/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 01/03/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 01/03/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 01/03/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 01/03/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 01/03/2017] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 01/03/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 01/03/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 01/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 166 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [00:00:00 01/03/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [00:00:00 01/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg st: NotStopd t0: [00:00:00 01/03/2017] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 01/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [00:00:00 01/03/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [00:00:00 01/03/2017] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 01/03/2017] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 01/03/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 01/03/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 01/03/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 01/03/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 01/03/2017] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Chest Xray st: NotStopd t0: [00:00:00 01/03/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 01/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [00:00:00 01/03/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 01/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 01/03/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [00:00:00 01/03/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 01/03/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 01/03/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [00:00:00 01/03/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [00:00:00 01/03/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 01/03/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 01/03/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 01/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 01/03/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd
t0: [23:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [23:00:00 28/02/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 28/02/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 13.5 vu: ml t0: [23:00:00 28/02/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml t0: [00:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [00:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 01/03/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 13.5 vu: ml t0: [00:00:00 01/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 350 vu: ml
t0: [22:00:00 28/02/2017] 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 28/02/2017] 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: [00:00:00 01/03/2017] 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: [00:00:00 01/03/2017] tf: [20:00:00 01/03/2017] dt: 1200 id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 01/03/2017] tf: [20:00:00 01/03/2017] dt: 1200 id: GT Flush PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [00:00:00 01/03/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [23:00:00 01/03/2017] dt: 24 id: PO/Gastric In Total el: 2 cu: MICU-A cg: RN cv: 180 ap: none
t0: [00:00:00 01/03/2017] id: GI Guaiac/ph el: 0 cu: MICU-A cg: RN v1: Positive v2: 5-7 st: NotStopd
t0: [00:40:00 01/03/2017] id: high min. vol. el: 0 cu: MICU-A cg: RRT v1: 15 t0: [00:40:00 01/03/2017] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [00:40:00 01/03/2017] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:40:00 01/03/2017] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [00:40:00 01/03/2017] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [00:40:00 01/03/2017] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [00:40:00 01/03/2017] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [00:40:00 01/03/2017] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 1 v2: 19 st: NotStopd t0: [00:40:00 01/03/2017] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [00:40:00 01/03/2017] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [00:40:00 01/03/2017] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 11 u1: L/min st: NotStopd t0: [00:40:00 01/03/2017] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:40:00 01/03/2017] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [00:40:00 01/03/2017] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [00:40:00 01/03/2017] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:40:00 01/03/2017] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:40:00 01/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [00:40:00 01/03/2017] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [00:40:00 01/03/2017] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [00:40:00 01/03/2017] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [01:00:00 01/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 01/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 01/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 01/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 01/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 60 u1: BPM st: NotStopd t0: [01:00:00 01/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 01/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 165 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [01:00:00 01/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg st: NotStopd t0: [01:00:00 01/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [01:00:00 01/03/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [01:00:00 01/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:00:00 01/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 01/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [01:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 01/03/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 13.5 vu: ml t0: [01:00:00 01/03/2017] tf: [10:45:00 01/03/2017] dt: 585 id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 01/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 190 vu: ml
t0: [01:00:00 01/03/2017] 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: [02:00:00 01/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 01/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 01/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 01/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 01/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [02:00:00 01/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 01/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 139 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [02:00:00 01/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [02:00:00 01/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [02:00:00 01/03/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [02:00:00 01/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 01/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 01/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [02:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 01/03/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 16.875 vu: ml t0: [02:00:00 01/03/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 01/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 300 vu: ml
t0: [02:00:00 01/03/2017] 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: [21:00:00 28/02/2017] id: Family Communication el: 0 cu: MICU-A cg: RN v1: Family Called st: NotStopd t0: [02:00:00 01/03/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [02:00:00 01/03/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 01/03/2017] id: Cerv Collar Status el: 0 cu: MICU-A cg: RN v1: On st: NotStopd t0: [02:00:00 01/03/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 01/03/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 01/03/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 01/03/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 01/03/2017] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 01/03/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 01/03/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 01/03/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 01/03/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 01/03/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 01/03/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 01/03/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 01/03/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 01/03/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 01/03/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [02:00:00 01/03/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [02:00:00 01/03/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [02:00:00 01/03/2017] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 01/03/2017] id: Bath el: 1 cu: MICU-A cg: RN v1: Done t0: [02:00:00 01/03/2017] id: Behavior el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [02:00:00 01/03/2017] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [02:00:00 01/03/2017] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [02:00:00 01/03/2017] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [02:00:00 01/03/2017] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [02:00:00 01/03/2017] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [02:00:00 01/03/2017] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 11 u1: number st: NotStopd t0: [02:00:00 01/03/2017] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [03:00:00 01/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 01/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 01/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 01/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 01/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [03:00:00 01/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 01/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 169 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [03:00:00 01/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 118 u1: mmHg st: NotStopd t0: [03:00:00 01/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [03:00:00 01/03/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [03:00:00 01/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 01/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 01/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [03:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 01/03/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 16.875 vu: ml t0: [03:00:00 01/03/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 01/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 150 vu: ml
t0: [03:00:00 01/03/2017] 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: [23:00:00 01/03/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN pv: 40 cv: 40 ap: none t0: [23:00:00 01/03/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN pv: 70 cv: 70 ap: none t0: [23:00:00 01/03/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN pv: 110 cv: 4017.41 ap: none t0: [23:00:00 01/03/2017] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN pv: 110 cv: 4414.91 ap: none t0: [23:00:00 01/03/2017] dt: 24 id: Tube Feeds In Total el: 2 cu: MICU-A cg: RN cv: 217.5 ap: none t0: [23:00:00 01/03/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN pv: 40 cv: 4410 ap: none t0: [23:00:00 01/03/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN pv: 70 cv: 4.90625 ap: none t0: [23:00:00 01/03/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN pv: 40 cv: 4410 ap: none t0: [23:00:00 01/03/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN pv: 70 cv: -3058.03 ap: none
t0: [04:00:00 01/03/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [04:00:00 01/03/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Non-verbal cues st: NotStopd t0: [04:00:00 01/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 01/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 01/03/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Sedated st: NotStopd t0: [04:00:00 01/03/2017] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 01/03/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 01/03/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 01/03/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 01/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 01/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 01/03/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [04:00:00 01/03/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 01/03/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 01/03/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Inconsistently st: NotStopd t0: [04:00:00 01/03/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 01/03/2017] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 01/03/2017] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [04:00:00 01/03/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [04:00:00 01/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [04:00:00 01/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 01/03/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 01/03/2017] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 01/03/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [04:00:00 01/03/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 01/03/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Obese st: NotStopd t0: [04:00:00 01/03/2017] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 01/03/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [04:00:00 01/03/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 01/03/2017] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [04:00:00 01/03/2017] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Post Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 01/03/2017] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [04:00:00 01/03/2017] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [04:00:00 01/03/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 01/03/2017] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 01/03/2017] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 01/03/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 01/03/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/03/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 01/03/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/03/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 01/03/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 01/03/2017] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 01/03/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 01/03/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 01/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 166 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [04:00:00 01/03/2017] id: Pain Management el: 1 cu: MICU-A cg: RN v1: IV Gtt st: NotStopd t0: [04:00:00 01/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 116 u1: mmHg st: NotStopd t0: [04:00:00 01/03/2017] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 01/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [04:00:00 01/03/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [04:00:00 01/03/2017] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 01/03/2017] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 01/03/2017] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 01/03/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts/Falls Back st: NotStopd t0: [04:00:00 01/03/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/03/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 01/03/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/03/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 01/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:00:00 01/03/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 01/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 01/03/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [04:00:00 01/03/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 01/03/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 01/03/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [04:00:00 01/03/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [04:00:00 01/03/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 01/03/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 01/03/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 01/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 01/03/2017] id: Fingerstick Glucose Chemistry el: 0 cu: MICU-A cg: RN v1: 115 rs: Manual st: NotStopd t0: [04:00:00 01/03/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd
t0: [04:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [04:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 01/03/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10.125 vu: ml t0: [04:00:00 01/03/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 01/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 90 vu: ml
t0: [04:00:00 01/03/2017] 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: [04:00:00 01/03/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.3 rs: Final st: NotStopd t0: [04:00:00 01/03/2017] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.3 rs: Final st: NotStopd t0: [04:00:00 01/03/2017] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 34.9 u1: % rs: Final st: NotStopd t0: [04:00:00 01/03/2017] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 12 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 01/03/2017] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 170 rs: Final st: NotStopd t0: [04:00:00 01/03/2017] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 4.06 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 01/03/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.3 rs: Final st: NotStopd
t0: [04:00:00 01/03/2017] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [04:00:00 01/03/2017] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 01/03/2017] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 107 rs: Final st: NotStopd t0: [04:00:00 01/03/2017] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [04:00:00 01/03/2017] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 117 rs: Final st: NotStopd t0: [04:00:00 01/03/2017] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [04:00:00 01/03/2017] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 01/03/2017] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [04:00:00 01/03/2017] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd t0: [04:00:00 01/03/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 5 rs: Final st: NotStopd t0: [04:00:00 01/03/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 01/03/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 29 rs: Final st: NotStopd t0: [04:00:00 01/03/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 107 rs: Final st: NotStopd t0: [04:00:00 01/03/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.8 rs: Final st: NotStopd t0: [04:00:00 01/03/2017] id: Dilantin Drug Level el: 0 cu: MICU-A cg: 1663 v1: 11.3 rs: Final st: NotStopd t0: [04:00:00 01/03/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 117 rs: Final st: NotStopd t0: [04:00:00 01/03/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.9 rs: Final st: NotStopd t0: [04:00:00 01/03/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 01/03/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.8 rs: Final st: NotStopd t0: [04:00:00 01/03/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 143 rs: Final st: NotStopd
t0: [05:00:00 01/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 01/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 01/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 01/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 01/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [05:00:00 01/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 01/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 166 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [05:00:00 01/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 114 u1: mmHg st: NotStopd t0: [05:00:00 01/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [05:00:00 01/03/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [05:00:00 01/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 16 u1: BPM st: NotStopd t0: [05:00:00 01/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 01/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 01/03/2017] 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: [05:30:00 01/03/2017] id: RSBI (<100) el: 0 cu: MICU-A cg: RRT v1: 52.5 u1: units st: NotStopd t0: [05:30:00 01/03/2017] id: high min. vol. el: 0 cu: MICU-A cg: RRT v1: 15 t0: [05:30:00 01/03/2017] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [05:30:00 01/03/2017] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [05:30:00 01/03/2017] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [05:30:00 01/03/2017] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 30 u1: BPM st: NotStopd t0: [05:30:00 01/03/2017] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [05:30:00 01/03/2017] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [05:30:00 01/03/2017] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 1 v2: 19 st: NotStopd t0: [05:30:00 01/03/2017] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 5 st: NotStopd t0: [05:30:00 01/03/2017] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [05:30:00 01/03/2017] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 6.8 u1: L/min st: NotStopd t0: [05:30:00 01/03/2017] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:30:00 01/03/2017] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [05:30:00 01/03/2017] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 10 u1: . st: NotStopd t0: [05:30:00 01/03/2017] id: RSBI (<200) el: 0 cu: MICU-A cg: RRT v1: 52.5 u1: units st: NotStopd t0: [05:30:00 01/03/2017] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 18 u1: BPM st: NotStopd t0: [05:30:00 01/03/2017] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:30:00 01/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RRT v1: 99 u1: % st: NotStopd t0: [05:30:00 01/03/2017] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: RRT v1: 21 u1: BPM st: NotStopd t0: [05:30:00 01/03/2017] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: L st: NotStopd t0: [05:30:00 01/03/2017] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 414 u1: ml/B st: NotStopd t0: [05:30:00 01/03/2017] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: CPAP+PS st: NotStopd t0: [05:30:00 01/03/2017] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd t0: [05:40:00 01/03/2017] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [05:40:00 01/03/2017] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd
t0: [05:00:00 01/03/2017] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RRT v1: Tan v2: Thick st: NotStopd t0: [05:00:00 01/03/2017] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RRT v1: Suctioned v2: Moderate st: NotStopd
t0: [02:00:00 01/03/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [05:00:00 01/03/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [05:00:00 01/03/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 01/03/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [05:00:00 01/03/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 01/03/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 01/03/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 01/03/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 01/03/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [05:00:00 01/03/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 01/03/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 01/03/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [05:00:00 01/03/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 01/03/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [05:00:00 01/03/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [05:00:00 01/03/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [05:00:00 01/03/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 01/03/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 01/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 01/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 01/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 01/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 01/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 75 u1: BPM st: NotStopd t0: [06:00:00 01/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 01/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [06:00:00 01/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [06:00:00 01/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [06:00:00 01/03/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [06:00:00 01/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [06:00:00 01/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 01/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 01/03/2017] id: GT Flush PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [05:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [05:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 01/03/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10.125 vu: ml t0: [05:00:00 01/03/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 01/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 160 vu: ml t0: [06:00:00 01/03/2017] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [06:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 01/03/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 10.125 vu: ml t0: [06:00:00 01/03/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 01/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 140 vu: ml
t0: [06:00:00 01/03/2017] 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: [08:00:00 01/03/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [08:00:00 01/03/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 01/03/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 01/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 01/03/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 01/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 01/03/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 01/03/2017] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/03/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 01/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/03/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 01/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 01/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 01/03/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [08:00:00 01/03/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/03/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 01/03/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 01/03/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 01/03/2017] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 01/03/2017] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 01/03/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Feeding v2: Undigested Food st: NotStopd t0: [08:00:00 01/03/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 01/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 88 u1: BPM st: NotStopd t0: [08:00:00 01/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 01/03/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 01/03/2017] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/03/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [08:00:00 01/03/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/03/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 01/03/2017] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 01/03/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [08:00:00 01/03/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 01/03/2017] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [08:00:00 01/03/2017] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Post Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 01/03/2017] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [08:00:00 01/03/2017] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [08:00:00 01/03/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 01/03/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/03/2017] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/03/2017] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/03/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 01/03/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 01/03/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 01/03/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 01/03/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 01/03/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 01/03/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 01/03/2017] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 01/03/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 01/03/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 01/03/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 01/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [08:00:00 01/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 110 u1: mmHg st: NotStopd t0: [08:00:00 01/03/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 01/03/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 01/03/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 01/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [08:00:00 01/03/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [08:00:00 01/03/2017] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 01/03/2017] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 01/03/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 01/03/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 01/03/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 01/03/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [08:00:00 01/03/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 01/03/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 01/03/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 01/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:00:00 01/03/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 01/03/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 01/03/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 01/03/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 01/03/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 01/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 01/03/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Intubated/trach st: NotStopd t0: [08:00:00 01/03/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 01/03/2017] id: Sputum Color/Consist el: 0 cu: MICU-A cg: RN v1: Tan v2: Thick st: NotStopd t0: [08:00:00 01/03/2017] id: Sputum Source/Amt el: 0 cu: MICU-A cg: RN v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 01/03/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 01/03/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 01/03/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [08:00:00 01/03/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [08:00:00 01/03/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 01/03/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [08:00:00 01/03/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 01/03/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 01/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 01/03/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd
t0: [08:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [08:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 01/03/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 20.25 vu: ml t0: [08:00:00 01/03/2017] id: GT Flush PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [08:00:00 01/03/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [08:00:00 01/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 650 vu: ml
t0: [08:00:00 01/03/2017] 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: [09:10:00 01/03/2017] id: high min. vol. el: 0 cu: MICU-A cg: RRT v1: 15 t0: [09:10:00 01/03/2017] id: ETT Mark/Location el: 0 cu: MICU-A cg: RRT v1: 25cm v2: Lip st: NotStopd t0: [09:10:00 01/03/2017] id: FiO2 Set el: 0 cu: MICU-A cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [09:10:00 01/03/2017] id: High Insp. Pressure el: 0 cu: MICU-A cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [09:10:00 01/03/2017] id: High Resp. Rate el: 0 cu: MICU-A cg: RRT v1: 35 u1: BPM st: NotStopd t0: [09:10:00 01/03/2017] id: Airway Size el: 0 cu: MICU-A cg: RRT v1: 8.0 mm st: NotStopd t0: [09:10:00 01/03/2017] id: Airway Type el: 0 cu: MICU-A cg: RRT v1: Endotracheal st: NotStopd t0: [09:10:00 01/03/2017] id: Intubation Date el: 0 cu: MICU-A cg: RRT v1: 1 v2: 19 st: NotStopd t0: [09:10:00 01/03/2017] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: RRT v1: 3.5 st: NotStopd t0: [09:10:00 01/03/2017] id: Mean Airway Pressure el: 0 cu: MICU-A cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [09:10:00 01/03/2017] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: RRT v1: 8.4 u1: L/min st: NotStopd t0: [09:10:00 01/03/2017] id: PEEP Set el: 0 cu: MICU-A cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [09:10:00 01/03/2017] id: Apnea Time Interval el: 0 cu: MICU-A cg: RRT v1: 20 st: NotStopd t0: [09:10:00 01/03/2017] id: Pressure Support el: 0 cu: MICU-A cg: RRT v1: 5 u1: . st: NotStopd t0: [09:10:00 01/03/2017] id: Resp Rate (Total) el: 0 cu: MICU-A cg: RRT v1: 19 u1: BPM st: NotStopd t0: [09:10:00 01/03/2017] id: Sensitivity-Vent el: 0 cu: MICU-A cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [09:10:00 01/03/2017] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: RRT v1: 448 u1: ml/B st: NotStopd t0: [09:10:00 01/03/2017] id: Ventilator Mode el: 0 cu: MICU-A cg: RRT v1: Pressure Support st: NotStopd t0: [09:10:00 01/03/2017] id: Ventilator Type el: 0 cu: MICU-A cg: RRT v1: Drager st: NotStopd
t0: [09:00:00 01/03/2017] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: CT scan st: NotStopd t0: [10:00:00 01/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 01/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 01/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 01/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 01/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 01/03/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [10:00:00 01/03/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 01/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 78 u1: BPM st: NotStopd t0: [10:00:00 01/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 01/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [10:00:00 01/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [10:00:00 01/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [10:00:00 01/03/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [10:00:00 01/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 01/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 01/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 01/03/2017] id: GT Flush PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 30 vu: ml t0: [10:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [10:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 01/03/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 13.5 vu: ml t0: [10:00:00 01/03/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [10:00:00 01/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 240 vu: ml
t0: [10:00:00 01/03/2017] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 5 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 01/03/2017] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:45:00 01/03/2017] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [10:45:00 01/03/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: RN ai: 107 vo: 37.5 vu: ml st: Stopped
t0: [10:45:00 01/03/2017] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [10:00:00 02/03/2017] pt: Unit Dose rt: NG fr: ONCE fs: 11 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq tf: [10:00:00 02/03/2017] pt: Unit Dose rt: PO fr: ONCE fs: 11 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq
t0: [11:00:00 01/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 01/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 01/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 01/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 01/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 01/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 66 u1: BPM st: NotStopd t0: [11:00:00 01/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 01/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [11:00:00 01/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [11:00:00 01/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [11:00:00 01/03/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [11:00:00 01/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [11:00:00 01/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 01/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 01/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 01/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 01/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 01/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 01/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 01/03/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [12:00:00 01/03/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 01/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 89 u1: BPM st: NotStopd t0: [12:00:00 01/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 01/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 175 u1: mmHg v2: 94 u2: mmHg st: NotStopd t0: [12:00:00 01/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 126 u1: mmHg st: NotStopd t0: [12:00:00 01/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [12:00:00 01/03/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [12:00:00 01/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [12:00:00 01/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 01/03/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 01/03/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.9444 u1: Deg. C st: NotStopd t0: [12:00:00 01/03/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 100.3 u1: Deg. F st: NotStopd t0: [12:00:00 01/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 01/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 01/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 01/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 01/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 01/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 01/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [13:00:00 01/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 01/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 165 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [13:00:00 01/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 115 u1: mmHg st: NotStopd t0: [13:00:00 01/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [13:00:00 01/03/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [13:00:00 01/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 01/03/2017] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Extubated st: NotStopd t0: [13:00:00 01/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 01/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:45:00 01/03/2017] id: GT Flush PO/Gastric el: 1 cu: MICU-A cg: RN ai: 107 vo: 60 vu: ml t0: [12:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [12:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 01/03/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 2.53125 vu: ml t0: [13:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [13:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 01/03/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 0 vu: ml t0: [13:00:00 01/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 650 vu: ml
t0: [11:00:00 01/03/2017] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 01/03/2017] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:00:00 01/03/2017] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 01/03/2017] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [14:00:00 01/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 01/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 01/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 01/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 01/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 98 u1: BPM st: NotStopd t0: [14:00:00 01/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 01/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [14:00:00 01/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg st: NotStopd t0: [14:00:00 01/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [14:00:00 01/03/2017] id: Previous WeightF el: 0 cu: MICU-A cg: RN v1: 112.5 u1: kg st: NotStopd t0: [14:00:00 01/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 34 u1: BPM st: NotStopd t0: [14:00:00 01/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 90 u1: % st: NotStopd t0: [14:00:00 01/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [14:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 01/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [14:00:00 01/03/2017] id: Propofol el: 1 cu: MICU-A cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 01/03/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Medicated st: NotStopd t0: [10:00:00 01/03/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 01/03/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 01/03/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 01/03/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 01/03/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 01/03/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 01/03/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 01/03/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 01/03/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 01/03/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 01/03/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [12:00:00 01/03/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 01/03/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 01/03/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 01/03/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 01/03/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 01/03/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [12:00:00 01/03/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 01/03/2017] id: GI Intub #1/Site el: 0 cu: MICU-A cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 01/03/2017] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 01/03/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: RN v1: Clamped v2: Undigested Food st: NotStopd t0: [12:00:00 01/03/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 01/03/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 01/03/2017] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [12:00:00 01/03/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [12:00:00 01/03/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 01/03/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 01/03/2017] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 01/03/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [12:00:00 01/03/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 01/03/2017] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [12:00:00 01/03/2017] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Post Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 01/03/2017] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [12:00:00 01/03/2017] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [12:00:00 01/03/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 01/03/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 01/03/2017] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 01/03/2017] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 01/03/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 01/03/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 01/03/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 01/03/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 01/03/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 01/03/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 01/03/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 01/03/2017] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 01/03/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 01/03/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 01/03/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 01/03/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [12:00:00 01/03/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 01/03/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 01/03/2017] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 01/03/2017] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 01/03/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 01/03/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 01/03/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 01/03/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Coarse st: NotStopd t0: [12:00:00 01/03/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 01/03/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 01/03/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 01/03/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 01/03/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 01/03/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 01/03/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 01/03/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 01/03/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Garbled st: NotStopd t0: [12:00:00 01/03/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 01/03/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 01/03/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 01/03/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 01/03/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 01/03/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 2 Incomp sounds st: NotStopd t0: [12:00:00 01/03/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [14:00:00 01/03/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [14:00:00 01/03/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 01/03/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 01/03/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [14:00:00 01/03/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [14:00:00 01/03/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 3 To speech st: NotStopd t0: [14:00:00 01/03/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 11 u1: points st: NotStopd t0: [14:00:00 01/03/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [14:00:00 01/03/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [14:00:00 01/03/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [14:00:00 01/03/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [14:00:00 01/03/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 01/03/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 01/03/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 01/03/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 01/03/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [14:00:00 01/03/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [14:00:00 01/03/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 01/03/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 01/03/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [14:00:00 01/03/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 01/03/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 01/03/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 01/03/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 01/03/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Garbled st: NotStopd t0: [14:00:00 01/03/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [14:00:00 01/03/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 01/03/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 2 Incomp sounds st: NotStopd t0: [14:00:00 01/03/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [14:00:00 01/03/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [15:00:00 01/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [15:00:00 01/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [15:00:00 01/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [15:00:00 01/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 01/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [15:00:00 01/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [15:00:00 01/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 01/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 154 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [15:00:00 01/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [15:00:00 01/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [15:00:00 01/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [15:00:00 01/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 01/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 01/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [16:00:00 01/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [16:00:00 01/03/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 01/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 01/03/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [16:00:00 01/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 01/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [16:00:00 01/03/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 01/03/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [16:00:00 01/03/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 01/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 94 u1: BPM st: NotStopd t0: [16:00:00 01/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 01/03/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 01/03/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 01/03/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 01/03/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 01/03/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 01/03/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 01/03/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 01/03/2017] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 01/03/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 01/03/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 01/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [16:00:00 01/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [16:00:00 01/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [16:00:00 01/03/2017] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 01/03/2017] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 01/03/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 01/03/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 01/03/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 01/03/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [16:00:00 01/03/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [16:00:00 01/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [16:00:00 01/03/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 01/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 01/03/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Normal st: NotStopd t0: [16:00:00 01/03/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 01/03/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [16:00:00 01/03/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [16:00:00 01/03/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [16:00:00 01/03/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 01/03/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 01/03/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 01/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 01/03/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [16:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [16:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 01/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 700 vu: ml
t0: [12:00:00 01/03/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 01/03/2017] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 1 u1: torr st: NotStopd t0: [13:00:00 01/03/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [13:00:00 01/03/2017] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 15 u1: lpm st: NotStopd t0: [16:00:00 01/03/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [16:00:00 01/03/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 01/03/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 01/03/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 01/03/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [16:00:00 01/03/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [16:00:00 01/03/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 01/03/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 01/03/2017] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [16:00:00 01/03/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [16:00:00 01/03/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 01/03/2017] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [16:00:00 01/03/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [16:00:00 01/03/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 01/03/2017] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [16:00:00 01/03/2017] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Post Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 01/03/2017] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [16:00:00 01/03/2017] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [16:00:00 01/03/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 01/03/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 01/03/2017] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 01/03/2017] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [16:00:00 01/03/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 01/03/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 01/03/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [16:00:00 01/03/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 01/03/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 01/03/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 01/03/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [16:00:00 01/03/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 01/03/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 01/03/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 01/03/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 01/03/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [16:00:00 01/03/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 01/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [17:00:00 01/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [17:00:00 01/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [17:00:00 01/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 01/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [17:00:00 01/03/2017] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.8 u1: torr st: NotStopd t0: [17:00:00 01/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [17:00:00 01/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 01/03/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [17:00:00 01/03/2017] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 15 u1: lpm st: NotStopd t0: [17:00:00 01/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [17:00:00 01/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 105 u1: mmHg st: NotStopd t0: [17:00:00 01/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [17:00:00 01/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [17:00:00 01/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 01/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 01/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [18:00:00 01/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [18:00:00 01/03/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [18:00:00 01/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [18:00:00 01/03/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [18:00:00 01/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 01/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [18:00:00 01/03/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 01/03/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 15 u1: points st: NotStopd t0: [18:00:00 01/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [18:00:00 01/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 01/03/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [18:00:00 01/03/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [18:00:00 01/03/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [18:00:00 01/03/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [18:00:00 01/03/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 01/03/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 01/03/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 3 st: NotStopd t0: [18:00:00 01/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 148 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [18:00:00 01/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 100 u1: mmHg st: NotStopd t0: [18:00:00 01/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Airborne/Resp st: NotStopd t0: [18:00:00 01/03/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [18:00:00 01/03/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [18:00:00 01/03/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [18:00:00 01/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [18:00:00 01/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 01/03/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Normal st: NotStopd t0: [18:00:00 01/03/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [18:00:00 01/03/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 01/03/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 5 Oriented st: NotStopd t0: [18:00:00 01/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 01/03/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd
t0: [18:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [18:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml
t0: [20:00:00 01/03/2017] id: Cerv Collar Status el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Cervical Collar Type el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Collar Care el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Compliance (40-60ml) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: RSBI (<100) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Cuff Pressure-Airway el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: RSBI Not Completed el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: ETT Mark/Location el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: ETT Position Change el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Extubation Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: GI Guaiac/ph el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: GI Intub #1/Site el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: GI#1 Tube PlaceCheck el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: GI#1 Tube Stat/Drain el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: High Insp. Pressure el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: High Resp. Rate el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: I:E Ratio el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Airway Size el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Airway Type el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Inspired Gas Temp el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Intubation Date el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Low Exhaled Min Vol el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Mean Airway Pressure el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Minute Volume(Obser) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Neg Insp Force(>-25) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: PEEP Set el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Apnea Time Interval el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Peak Flow el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Peak Insp. Pressure el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Plateau Pressure el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Pressure Support el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: RSBI (<200) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Resp Rate (Spont) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Resp Rate (Total) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Respiratory Rate Set el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Sensitivity-Vent el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Spon RR (Mech.) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Spon. Vt (L) (Mech.) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Tidal Volume (Obser) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Tidal Volume (Set) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Tidal Volume (Spont) el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Ventilator Mode el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Vital Cap (>1.0)L el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: Waveform-Vent el: 0 cu: MICU-A cg: -1 st: D/C'd t0: [20:00:00 01/03/2017] id: SaO2 ABG's el: 0 cu: MICU-A cg: -1 st: D/C'd
t0: [20:00:00 01/03/2017] id: TF Residual Gastric/TF Residual el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd t0: [20:00:00 01/03/2017] id: GT Flush PO/Gastric el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd t0: [20:00:00 01/03/2017] id: Promote w/fiber Tube Feeding el: 1 cu: MICU-A cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [20:00:00 01/03/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [20:00:00 01/03/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 01/03/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/03/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [20:00:00 01/03/2017] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 01/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [20:00:00 01/03/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 01/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [20:00:00 01/03/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 01/03/2017] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 01/03/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 01/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 01/03/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [20:00:00 01/03/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Other/Remarks st: NotStopd t0: [20:00:00 01/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 01/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [20:00:00 01/03/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [20:00:00 01/03/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 01/03/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 01/03/2017] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.6 u1: torr st: NotStopd t0: [20:00:00 01/03/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [20:00:00 01/03/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [20:00:00 01/03/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 01/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 69 u1: BPM st: NotStopd t0: [20:00:00 01/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 01/03/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 01/03/2017] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [20:00:00 01/03/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [20:00:00 01/03/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 01/03/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 01/03/2017] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [20:00:00 01/03/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [20:00:00 01/03/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 01/03/2017] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [20:00:00 01/03/2017] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Post Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 01/03/2017] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [20:00:00 01/03/2017] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [20:00:00 01/03/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 01/03/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 01/03/2017] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 01/03/2017] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [20:00:00 01/03/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 01/03/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 01/03/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 01/03/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 01/03/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 01/03/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [20:00:00 01/03/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 01/03/2017] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 01/03/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Hi Flow Neb st: NotStopd t0: [20:00:00 01/03/2017] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 15 u1: lpm st: NotStopd t0: [20:00:00 01/03/2017] id: Oral Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/03/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 01/03/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [20:00:00 01/03/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 01/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 161 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [20:00:00 01/03/2017] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 01/03/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [20:00:00 01/03/2017] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Dull st: NotStopd t0: [20:00:00 01/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg st: NotStopd t0: [20:00:00 01/03/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/03/2017] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Other/Remarks st: NotStopd t0: [20:00:00 01/03/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 01/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [20:00:00 01/03/2017] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 01/03/2017] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 01/03/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 01/03/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 01/03/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 01/03/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [20:00:00 01/03/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 01/03/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/03/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [20:00:00 01/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [20:00:00 01/03/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 01/03/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 01/03/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 01/03/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 01/03/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 01/03/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [20:00:00 01/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 01/03/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Slurred st: NotStopd t0: [20:00:00 01/03/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 01/03/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [20:00:00 01/03/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [20:00:00 01/03/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [20:00:00 01/03/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [20:00:00 01/03/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 01/03/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 01/03/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 01/03/2017] id: Ventilator Type el: 0 cu: MICU-A cg: RN v1: Drager st: NotStopd t0: [20:00:00 01/03/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [20:00:00 01/03/2017] id: Back Care el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [20:00:00 01/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 01/03/2017] id: Behavior el: 0 cu: MICU-A cg: RN v1: Appropriate st: NotStopd t0: [20:00:00 01/03/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 01/03/2017] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 01/03/2017] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 01/03/2017] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 01/03/2017] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 01/03/2017] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [20:00:00 01/03/2017] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 01/03/2017] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [20:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 01/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 450 vu: ml
t0: [21:00:00 01/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [21:00:00 01/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [21:00:00 01/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [21:00:00 01/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 01/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [21:00:00 01/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 81 u1: BPM st: NotStopd t0: [21:00:00 01/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 01/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 165 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [21:00:00 01/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 112 u1: mmHg st: NotStopd t0: [21:00:00 01/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [21:00:00 01/03/2017] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: CT scan st: NotStopd t0: [21:00:00 01/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [21:00:00 01/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 01/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 01/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [22:00:00 01/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [22:00:00 01/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [22:00:00 01/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 01/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [22:00:00 01/03/2017] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.5 u1: torr st: NotStopd t0: [22:00:00 01/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 68 u1: BPM st: NotStopd t0: [22:00:00 01/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 01/03/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Hi Flow Neb st: NotStopd t0: [22:00:00 01/03/2017] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 15 u1: lpm st: NotStopd t0: [22:00:00 01/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [22:00:00 01/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 106 u1: mmHg st: NotStopd t0: [22:00:00 01/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [22:00:00 01/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 01/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 01/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [21:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 01/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml t0: [22:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [22:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 01/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [23:00:00 01/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [23:00:00 01/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [23:00:00 01/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [23:00:00 01/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 01/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [23:00:00 01/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 79 u1: BPM st: NotStopd t0: [23:00:00 01/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 01/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 156 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [23:00:00 01/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [23:00:00 01/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [23:00:00 01/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [23:00:00 01/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 01/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [23:00:00 01/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 01/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 40 vu: ml
t0: [23:00:00 01/03/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [23:00:00 01/03/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 01/03/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [23:00:00 01/03/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 01/03/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 01/03/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 01/03/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [23:00:00 01/03/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [23:00:00 01/03/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 01/03/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 01/03/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [23:00:00 01/03/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [23:00:00 01/03/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [23:00:00 01/03/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [23:00:00 01/03/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [23:00:00 01/03/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 01/03/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 02/03/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/03/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [00:00:00 02/03/2017] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [00:00:00 02/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [00:00:00 02/03/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 02/03/2017] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 02/03/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 02/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/03/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [00:00:00 02/03/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Other/Remarks st: NotStopd t0: [00:00:00 02/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 02/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [00:00:00 02/03/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [00:00:00 02/03/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/03/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 02/03/2017] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 02/03/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [00:00:00 02/03/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [00:00:00 02/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [00:00:00 02/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [00:00:00 02/03/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 02/03/2017] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [00:00:00 02/03/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [00:00:00 02/03/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/03/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 02/03/2017] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [00:00:00 02/03/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [00:00:00 02/03/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 02/03/2017] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [00:00:00 02/03/2017] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Post Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 02/03/2017] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [00:00:00 02/03/2017] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [00:00:00 02/03/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/03/2017] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/03/2017] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/03/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 02/03/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 02/03/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 02/03/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 02/03/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [00:00:00 02/03/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 02/03/2017] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 02/03/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [00:00:00 02/03/2017] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 12 u1: lpm st: NotStopd t0: [00:00:00 02/03/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 02/03/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [00:00:00 02/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 153 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [00:00:00 02/03/2017] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 02/03/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [00:00:00 02/03/2017] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Dull st: NotStopd t0: [00:00:00 02/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [00:00:00 02/03/2017] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Other/Remarks st: NotStopd t0: [00:00:00 02/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [00:00:00 02/03/2017] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 02/03/2017] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 02/03/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 02/03/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 02/03/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 02/03/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [00:00:00 02/03/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [00:00:00 02/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:00:00 02/03/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 02/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 93 u1: % st: NotStopd t0: [00:00:00 02/03/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Slurred st: NotStopd t0: [00:00:00 02/03/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 02/03/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [00:00:00 02/03/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [00:00:00 02/03/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [00:00:00 02/03/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 02/03/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 02/03/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [00:00:00 02/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 02/03/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Hypoactive st: NotStopd
t0: [00:00:00 02/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [00:00:00 02/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 02/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [01:00:00 02/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [01:00:00 02/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [01:00:00 02/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [01:00:00 02/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 02/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [01:00:00 02/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [01:00:00 02/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 02/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 134 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [01:00:00 02/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 86 u1: mmHg st: NotStopd t0: [01:00:00 02/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [01:00:00 02/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:00:00 02/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 02/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 02/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [01:00:00 02/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 02/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [02:00:00 02/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [02:00:00 02/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [02:00:00 02/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [02:00:00 02/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 02/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [02:00:00 02/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 72 u1: BPM st: NotStopd t0: [02:00:00 02/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 02/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 135 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [02:00:00 02/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 89 u1: mmHg st: NotStopd t0: [02:00:00 02/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [02:00:00 02/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 02/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 02/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 02/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [02:00:00 02/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 02/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 100 vu: ml
t0: [03:00:00 02/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [03:00:00 02/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [03:00:00 02/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [03:00:00 02/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 02/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [03:00:00 02/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 65 u1: BPM st: NotStopd t0: [03:00:00 02/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 02/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 137 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [03:00:00 02/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 91 u1: mmHg st: NotStopd t0: [03:00:00 02/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [03:00:00 02/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [03:00:00 02/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 02/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 02/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [03:00:00 02/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 02/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [23:00:00 02/03/2017] dt: 1 id: Total Hourly Output el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 02/03/2017] dt: 1 id: Net Hourly Balance el: 2 cu: MICU-A cg: RN cv: 0 ap: none t0: [23:00:00 02/03/2017] dt: 24 id: IV Infusion In Total el: 2 cu: MICU-A cg: RN cv: 2180 ap: none t0: [23:00:00 02/03/2017] dt: 24 id: 24h Total In el: 2 cu: MICU-A cg: RN cv: 2180 ap: none t0: [23:00:00 02/03/2017] dt: 24 id: Urine Out Total el: 2 cu: MICU-A cg: RN cv: 1610 ap: none t0: [23:00:00 02/03/2017] dt: 24 id: 24h Net Body Balance el: 2 cu: MICU-A cg: RN cv: 570 ap: none t0: [23:00:00 02/03/2017] dt: 24 id: 24h Total Out el: 2 cu: MICU-A cg: RN cv: 1610 ap: none t0: [23:00:00 02/03/2017] dt: multiple days id: LOS Net Body Balance el: 2 cu: MICU-A cg: RN cv: -2488.03 ap: none
t0: [20:00:00 01/03/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [00:00:00 02/03/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [00:00:00 02/03/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [00:00:00 02/03/2017] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [00:00:00 02/03/2017] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 02/03/2017] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 02/03/2017] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 02/03/2017] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 02/03/2017] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [00:00:00 02/03/2017] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 02/03/2017] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd t0: [02:00:00 02/03/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [02:00:00 02/03/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 02/03/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 02/03/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 02/03/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 02/03/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 02/03/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 02/03/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Right Side st: NotStopd t0: [02:00:00 02/03/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 02/03/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 02/03/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 02/03/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [02:00:00 02/03/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 02/03/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 02/03/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [02:00:00 02/03/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 02/03/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 02/03/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 02/03/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [04:00:00 02/03/2017] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 02/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [04:00:00 02/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [04:00:00 02/03/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 02/03/2017] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 02/03/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 02/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 02/03/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [04:00:00 02/03/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Other/Remarks st: NotStopd t0: [04:00:00 02/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 02/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [04:00:00 02/03/2017] id: Alarms el: 0 cu: MICU-A cg: RN v1: ON st: NotStopd t0: [04:00:00 02/03/2017] id: Parameters Checked el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 02/03/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 02/03/2017] id: FiO2 Set el: 0 cu: MICU-A cg: RN v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 02/03/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [04:00:00 02/03/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [04:00:00 02/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 77 u1: BPM st: NotStopd t0: [04:00:00 02/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 02/03/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 02/03/2017] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [04:00:00 02/03/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [04:00:00 02/03/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/03/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 02/03/2017] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [04:00:00 02/03/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [04:00:00 02/03/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 02/03/2017] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [04:00:00 02/03/2017] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Post Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 02/03/2017] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [04:00:00 02/03/2017] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [04:00:00 02/03/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/03/2017] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/03/2017] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/03/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 02/03/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 02/03/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [04:00:00 02/03/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 02/03/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [04:00:00 02/03/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 02/03/2017] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 02/03/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Aerosol-Cool st: NotStopd t0: [04:00:00 02/03/2017] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 12 u1: lpm st: NotStopd t0: [04:00:00 02/03/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 02/03/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [04:00:00 02/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 131 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [04:00:00 02/03/2017] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 02/03/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [04:00:00 02/03/2017] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Dull st: NotStopd t0: [04:00:00 02/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 88 u1: mmHg st: NotStopd t0: [04:00:00 02/03/2017] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Other/Remarks st: NotStopd t0: [04:00:00 02/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [04:00:00 02/03/2017] id: Procedures el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 02/03/2017] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 02/03/2017] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 02/03/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 02/03/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 02/03/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 02/03/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [04:00:00 02/03/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [04:00:00 02/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 02/03/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 02/03/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [04:00:00 02/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 02/03/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Slurred st: NotStopd t0: [04:00:00 02/03/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 02/03/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [04:00:00 02/03/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [04:00:00 02/03/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [04:00:00 02/03/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [04:00:00 02/03/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 02/03/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 02/03/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [04:00:00 02/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 02/03/2017] id: Behavior el: 0 cu: MICU-A cg: RN v1: Calm st: NotStopd t0: [04:00:00 02/03/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [04:00:00 02/03/2017] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 02/03/2017] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 02/03/2017] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 02/03/2017] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 02/03/2017] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [04:00:00 02/03/2017] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [04:00:00 02/03/2017] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [04:00:00 02/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [04:00:00 02/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 02/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 80 vu: ml
t0: [05:00:00 02/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [05:00:00 02/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [05:00:00 02/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [05:00:00 02/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 02/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [05:00:00 02/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 63 u1: BPM st: NotStopd t0: [05:00:00 02/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 02/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [05:00:00 02/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 96 u1: mmHg st: NotStopd t0: [05:00:00 02/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [05:00:00 02/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:00:00 02/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 02/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 02/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [05:00:00 02/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 02/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 60 vu: ml
t0: [04:00:00 02/03/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.1 rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: WBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.1 rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Hematocrit Hematology el: 0 cu: MICU-A cg: 1663 v1: 35.6 u1: % rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Hemoglobin Hematology el: 0 cu: MICU-A cg: 1663 v1: 11.9 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Platelets Hematology el: 0 cu: MICU-A cg: 1663 v1: 204 rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: RBC Hematology el: 0 cu: MICU-A cg: 1663 v1: 4.16 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: WBC (4-11,000) Hematology el: 0 cu: MICU-A cg: 1663 v1: 9.1 rs: Final st: NotStopd
t0: [04:00:00 02/03/2017] id: BUN el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Calcium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Chloride Chemistry el: 0 cu: MICU-A cg: 1663 v1: 104 rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Creatinine Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Glucose Chemistry el: 0 cu: MICU-A cg: 1663 v1: 102 rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Magnesium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Phosphorous Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Potassium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Sodium Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: BUN (6-20) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 7 rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Calcium (8.4-10.2) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Carbon Dioxide Chemistry el: 0 cu: MICU-A cg: 1663 v1: 27 rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Chloride (100-112) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 104 rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Creatinine (0-1.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 0.7 rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Dilantin Drug Level el: 0 cu: MICU-A cg: 1663 v1: 10.9 rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Glucose (70-105) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 102 rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 1.7 rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Potassium (3.5-5.3) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 3.3 rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Sodium (135-148) Chemistry el: 0 cu: MICU-A cg: 1663 v1: 141 rs: Final st: NotStopd
t0: [05:00:00 02/03/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [05:00:00 02/03/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 02/03/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [05:00:00 02/03/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 02/03/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 02/03/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 02/03/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 02/03/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Left Side st: NotStopd t0: [05:00:00 02/03/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 02/03/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 02/03/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [05:00:00 02/03/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [05:00:00 02/03/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [05:00:00 02/03/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [05:00:00 02/03/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [05:00:00 02/03/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 02/03/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 02/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [06:00:00 02/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [06:00:00 02/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [06:00:00 02/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 02/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [06:00:00 02/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 76 u1: BPM st: NotStopd t0: [06:00:00 02/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 02/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 143 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [06:00:00 02/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [06:00:00 02/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [06:00:00 02/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [06:00:00 02/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 02/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 02/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 100 vu: ml t0: [06:00:00 02/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 02/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 70 vu: ml
t0: [07:00:00 02/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [07:00:00 02/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [07:00:00 02/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [07:00:00 02/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 02/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [07:00:00 02/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 58 u1: BPM st: NotStopd t0: [07:00:00 02/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [07:00:00 02/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 147 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [07:00:00 02/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 97 u1: mmHg st: NotStopd t0: [07:00:00 02/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [07:00:00 02/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [07:00:00 02/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 02/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 02/03/2017] id: Differential-Bands Hematology el: 0 cu: MICU-A cg: 1663 v1: 0 rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Differential-Basos Hematology el: 0 cu: MICU-A cg: 1663 v1: 0.4 rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Differential-Eos Hematology el: 0 cu: MICU-A cg: 1663 v1: 8.7 rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Differential-Lymphs Hematology el: 0 cu: MICU-A cg: 1663 v1: 14.5 rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Differential-Monos Hematology el: 0 cu: MICU-A cg: 1663 v1: 5.3 rs: Final st: NotStopd t0: [04:00:00 02/03/2017] id: Differential-Polys Hematology el: 0 cu: MICU-A cg: 1663 v1: 71.1 rs: Final st: NotStopd
t0: [08:00:00 02/03/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [08:00:00 02/03/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/03/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 02/03/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 02/03/2017] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [08:00:00 02/03/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 02/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [08:00:00 02/03/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 02/03/2017] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 02/03/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 02/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/03/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [08:00:00 02/03/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Other/Remarks st: NotStopd t0: [08:00:00 02/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 02/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [08:00:00 02/03/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 02/03/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [08:00:00 02/03/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [08:00:00 02/03/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 02/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 59 u1: BPM st: NotStopd t0: [08:00:00 02/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [08:00:00 02/03/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 02/03/2017] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: No st: NotStopd t0: [08:00:00 02/03/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [08:00:00 02/03/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/03/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [08:00:00 02/03/2017] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [08:00:00 02/03/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [08:00:00 02/03/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 02/03/2017] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [08:00:00 02/03/2017] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Post Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 02/03/2017] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [08:00:00 02/03/2017] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [08:00:00 02/03/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 02/03/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/03/2017] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/03/2017] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/03/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 02/03/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 02/03/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 02/03/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 02/03/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 02/03/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [08:00:00 02/03/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 02/03/2017] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 02/03/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 02/03/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [08:00:00 02/03/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 02/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [08:00:00 02/03/2017] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 02/03/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [08:00:00 02/03/2017] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Dull st: NotStopd t0: [08:00:00 02/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 99 u1: mmHg st: NotStopd t0: [08:00:00 02/03/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [08:00:00 02/03/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 02/03/2017] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Other/Remarks st: NotStopd t0: [08:00:00 02/03/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 02/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [08:00:00 02/03/2017] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 02/03/2017] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 02/03/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 02/03/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 02/03/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [08:00:00 02/03/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [08:00:00 02/03/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 02/03/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [08:00:00 02/03/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [08:00:00 02/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 02/03/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 02/03/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 02/03/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 02/03/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 02/03/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 02/03/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [08:00:00 02/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 02/03/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Slurred st: NotStopd t0: [08:00:00 02/03/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 02/03/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [08:00:00 02/03/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [08:00:00 02/03/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [08:00:00 02/03/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [08:00:00 02/03/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 02/03/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 02/03/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 02/03/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [08:00:00 02/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 02/03/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [08:00:00 02/03/2017] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 02/03/2017] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 02/03/2017] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 02/03/2017] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 02/03/2017] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 02/03/2017] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 02/03/2017] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 02/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [08:00:00 02/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 02/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
t0: [09:00:00 02/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [09:00:00 02/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [09:00:00 02/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [09:00:00 02/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 02/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [09:00:00 02/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [09:00:00 02/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [09:00:00 02/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [09:00:00 02/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 102 u1: mmHg st: NotStopd t0: [09:00:00 02/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [09:00:00 02/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:00:00 02/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 02/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 02/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [10:00:00 02/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [10:00:00 02/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [10:00:00 02/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 02/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [10:00:00 02/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [10:00:00 02/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 02/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 160 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [10:00:00 02/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 109 u1: mmHg st: NotStopd t0: [10:00:00 02/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [10:00:00 02/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [10:00:00 02/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 02/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 02/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [11:00:00 02/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [11:00:00 02/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [11:00:00 02/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 02/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [11:00:00 02/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 54 u1: BPM st: NotStopd t0: [11:00:00 02/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Sinus Brady st: NotStopd t0: [11:00:00 02/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 146 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [11:00:00 02/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 98 u1: mmHg st: NotStopd t0: [11:00:00 02/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [11:00:00 02/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 19 u1: BPM st: NotStopd t0: [11:00:00 02/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 02/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 02/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [10:00:00 02/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 02/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 120 vu: ml
tf: [16:00:00 02/03/2017] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm tf: [16:00:00 02/03/2017] pt: Unit Dose rt: NG fr: ONCE fs: 11 dn: 1 m1: Potassium Chloride v1: 60 u1: mEq
tf: [16:00:00 02/03/2017] pt: Unit Dose rt: IV fr: ONCE fs: 12 dn: 1 m1: Morphine Sulfate v1: 0.5 u1: mg tf: [17:00:00 02/03/2017] pt: IV Piggyback rt: IV fr: Q12H fs: 12, 0 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml tf: [20:00:00 03/03/2017] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Oxycodone-Acetaminophen v1: 1-2 u1: TAB
t0: [10:00:00 02/03/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [10:00:00 02/03/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 02/03/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 02/03/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 02/03/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 02/03/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [10:00:00 02/03/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 02/03/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 02/03/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 02/03/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 02/03/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 02/03/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 02/03/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 02/03/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 02/03/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [11:00:00 02/03/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [11:00:00 02/03/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 02/03/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [12:00:00 02/03/2017] id: Pain Present el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 02/03/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 02/03/2017] id: Pain Assess Method el: 0 cu: MICU-A cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 02/03/2017] id: PainLevel Acceptable el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 02/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [12:00:00 02/03/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 02/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [12:00:00 02/03/2017] id: Riker-SAS Scale el: 0 cu: MICU-A cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 02/03/2017] id: Daily Wake Up el: 1 cu: MICU-A cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 02/03/2017] id: GI Prophylaxis el: 0 cu: MICU-A cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 02/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 02/03/2017] id: Diet Type el: 0 cu: MICU-A cg: RN v1: NPO st: NotStopd t0: [12:00:00 02/03/2017] id: Dorsal PedPulse R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Other/Remarks st: NotStopd t0: [12:00:00 02/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 02/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [12:00:00 02/03/2017] id: Eye Opening el: 0 cu: MICU-A cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 02/03/2017] id: Follows Commands el: 0 cu: MICU-A cg: RN v1: Consistently st: NotStopd t0: [12:00:00 02/03/2017] id: GCS Total el: 0 cu: MICU-A cg: RN v1: 14 u1: points st: NotStopd t0: [12:00:00 02/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 62 u1: BPM st: NotStopd t0: [12:00:00 02/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 02/03/2017] id: INV Line#1 Type/Site el: 0 cu: MICU-A cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 02/03/2017] id: INV Line#1 Zero/Cal el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [12:00:00 02/03/2017] id: INV Line#1InsertDate el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [12:00:00 02/03/2017] id: INV Line#1SiteAppear el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 02/03/2017] id: Abdominal Assessment el: 0 cu: MICU-A cg: RN v1: Soft Distended st: NotStopd t0: [12:00:00 02/03/2017] id: INV#1 WaveformAppear el: 0 cu: MICU-A cg: RN v1: Sharp st: NotStopd t0: [12:00:00 02/03/2017] id: IV #1 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [12:00:00 02/03/2017] id: IV #1 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 02/03/2017] id: IV #2 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [12:00:00 02/03/2017] id: IV #2 Site/Size el: 0 cu: MICU-A cg: RN v1: RL Post Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 02/03/2017] id: IV #3 Insert Date el: 0 cu: MICU-A cg: RN v1: 1 v2: 19 st: NotStopd t0: [12:00:00 02/03/2017] id: IV #3 Site/Size el: 0 cu: MICU-A cg: RN v1: Left Hand v2: 18 gauge st: NotStopd t0: [12:00:00 02/03/2017] id: IV Site Appear #1 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 02/03/2017] id: IV Site Appear #2 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 02/03/2017] id: IV Site Appear #3 el: 0 cu: MICU-A cg: RN v1: WNL st: NotStopd t0: [12:00:00 02/03/2017] id: LL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 02/03/2017] id: LLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 02/03/2017] id: LU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 02/03/2017] id: LUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 02/03/2017] id: Level of Conscious el: 0 cu: MICU-A cg: RN v1: Alert st: NotStopd t0: [12:00:00 02/03/2017] id: Motor Response el: 0 cu: MICU-A cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 02/03/2017] id: Neuro Symptoms el: 0 cu: MICU-A cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 02/03/2017] id: Oral Cavity el: 0 cu: MICU-A cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 02/03/2017] id: Orientation el: 0 cu: MICU-A cg: RN v1: Oriented x 2 st: NotStopd t0: [12:00:00 02/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [12:00:00 02/03/2017] id: Pain Cause el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 02/03/2017] id: Pain Location el: 0 cu: MICU-A cg: RN v1: Back st: NotStopd t0: [12:00:00 02/03/2017] id: Pain Type el: 0 cu: MICU-A cg: RN v1: Dull st: NotStopd t0: [12:00:00 02/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 104 u1: mmHg st: NotStopd t0: [12:00:00 02/03/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 02/03/2017] id: PostTib. Pulses R/L el: 0 cu: MICU-A cg: RN v1: Easily Palpable v2: Other/Remarks st: NotStopd t0: [12:00:00 02/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [12:00:00 02/03/2017] id: Pupil Response R/L el: 0 cu: MICU-A cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 02/03/2017] id: Pupil Size R/L el: 0 cu: MICU-A cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 02/03/2017] id: RL Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 02/03/2017] id: RLL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 02/03/2017] id: RU Strength/Movement el: 0 cu: MICU-A cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 02/03/2017] id: RUL Lung Sounds el: 0 cu: MICU-A cg: RN v1: Clear st: NotStopd t0: [12:00:00 02/03/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 02/03/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [12:00:00 02/03/2017] id: Respiratory Pattern el: 0 cu: MICU-A cg: RN v1: Regular st: NotStopd t0: [12:00:00 02/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:00:00 02/03/2017] id: Responds to Stimuli el: 0 cu: MICU-A cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 02/03/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 02/03/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 02/03/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 02/03/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 02/03/2017] id: Skin Integrity el: 0 cu: MICU-A cg: RN v1: Intact st: NotStopd t0: [12:00:00 02/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 02/03/2017] id: Speech el: 0 cu: MICU-A cg: RN v1: Slurred st: NotStopd t0: [12:00:00 02/03/2017] id: Spontaneous Movement el: 0 cu: MICU-A cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 02/03/2017] id: Support Systems el: 0 cu: MICU-A cg: RN v1: Spouse st: NotStopd t0: [12:00:00 02/03/2017] id: Temp. Site el: 0 cu: MICU-A cg: RN v1: Oral st: NotStopd t0: [12:00:00 02/03/2017] id: Temperature C (calc) el: 0 cu: MICU-A cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [12:00:00 02/03/2017] id: Temperature F el: 0 cu: MICU-A cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [12:00:00 02/03/2017] id: Urine Color/Appear el: 0 cu: MICU-A cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 02/03/2017] id: Urine Source el: 0 cu: MICU-A cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 02/03/2017] id: Verbal Response el: 0 cu: MICU-A cg: RN v1: 4 Confused st: NotStopd t0: [12:00:00 02/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 02/03/2017] id: Bowel Sounds el: 0 cu: MICU-A cg: RN v1: Present st: NotStopd t0: [12:00:00 02/03/2017] id: Braden Activity el: 0 cu: MICU-A cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 02/03/2017] id: Braden Frict/Shear el: 0 cu: MICU-A cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 02/03/2017] id: Braden Mobility el: 0 cu: MICU-A cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 02/03/2017] id: Braden Moisture el: 0 cu: MICU-A cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 02/03/2017] id: Braden Nutrition el: 0 cu: MICU-A cg: RN v1: Very Poor st: NotStopd t0: [12:00:00 02/03/2017] id: Braden Score el: 0 cu: MICU-A cg: RN v1: 12 u1: number st: NotStopd t0: [12:00:00 02/03/2017] id: Braden SensoryPercep el: 0 cu: MICU-A cg: RN v1: Sl. Limited st: NotStopd
t0: [12:00:00 02/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: MICU-A cg: RN ai: 107 vo: 200 vu: ml t0: [12:00:00 02/03/2017] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: MICU-A cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 02/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 340 vu: ml
t0: [12:00:00 02/03/2017] id: O2 Delivery Device el: 0 cu: MICU-A cg: RN v1: Nasal Cannula st: NotStopd t0: [12:00:00 02/03/2017] id: O2 Flow (lpm) el: 0 cu: MICU-A cg: RN v1: 4 u1: lpm st: NotStopd t0: [13:00:00 02/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [13:00:00 02/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [13:00:00 02/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [13:00:00 02/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 02/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [13:00:00 02/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 64 u1: BPM st: NotStopd t0: [13:00:00 02/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 02/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [13:00:00 02/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 107 u1: mmHg st: NotStopd t0: [13:00:00 02/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [13:00:00 02/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 02/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 02/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 02/03/2017] id: Less Restrict Meas. el: 0 cu: MICU-A cg: RN v1: Orientation st: NotStopd t0: [14:00:00 02/03/2017] id: Range of Motion el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 02/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:00:00 02/03/2017] id: Circulation/SkinInt el: 0 cu: MICU-A cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 02/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:00:00 02/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:00:00 02/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 02/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:00:00 02/03/2017] id: HOB el: 0 cu: MICU-A cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 02/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 73 u1: BPM st: NotStopd t0: [14:00:00 02/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 02/03/2017] id: Activity el: 0 cu: MICU-A cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 02/03/2017] id: Activity Tolerance el: 0 cu: MICU-A cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 02/03/2017] id: AntiEmbDevice/Status el: 0 cu: MICU-A cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 02/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 152 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [14:00:00 02/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 111 u1: mmHg st: NotStopd t0: [14:00:00 02/03/2017] id: Position el: 0 cu: MICU-A cg: RN v1: Supine st: NotStopd t0: [14:00:00 02/03/2017] id: Position Change el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 02/03/2017] id: Assistance Device el: 0 cu: MICU-A cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 02/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:00:00 02/03/2017] id: Reason For Restraint el: 0 cu: MICU-A cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 02/03/2017] id: Removed x 5 Mins el: 0 cu: MICU-A cg: RN v1: Done st: NotStopd t0: [14:00:00 02/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 25 u1: BPM st: NotStopd t0: [14:00:00 02/03/2017] id: Restraint Location el: 0 cu: MICU-A cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 02/03/2017] id: Restraint Type el: 0 cu: MICU-A cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 02/03/2017] id: Restraints Evaluated el: 0 cu: MICU-A cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 02/03/2017] id: Side Rails el: 0 cu: MICU-A cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 02/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 02/03/2017] id: Turn el: 0 cu: MICU-A cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 02/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:30:00 02/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:30:00 02/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:30:00 02/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:30:00 02/03/2017] id: Ectopy Frequency el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:30:00 02/03/2017] id: Ectopy Type el: 0 cu: MICU-A cg: RN v1: None st: NotStopd t0: [14:30:00 02/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 70 u1: BPM st: NotStopd t0: [14:30:00 02/03/2017] id: Heart Rhythm el: 0 cu: MICU-A cg: RN v1: Normal Sinus st: NotStopd t0: [14:30:00 02/03/2017] id: Arterial BP el: 0 cu: MICU-A cg: RN v1: 149 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [14:30:00 02/03/2017] id: Arterial BP Mean el: 0 cu: MICU-A cg: RN v1: 108 u1: mmHg st: NotStopd t0: [14:30:00 02/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:30:00 02/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:30:00 02/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [14:30:00 02/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd t0: [14:45:00 02/03/2017] id: Service Type el: 0 cu: MICU-A cg: RN v1: MICU st: NotStopd t0: [14:45:00 02/03/2017] id: Code Status el: 0 cu: MICU-A cg: RN v1: Full Code st: NotStopd t0: [14:45:00 02/03/2017] id: Risk for Falls el: 0 cu: MICU-A cg: RN v1: Yes st: NotStopd t0: [14:45:00 02/03/2017] id: Heart Rate el: 0 cu: MICU-A cg: RN v1: 74 u1: BPM st: NotStopd t0: [14:45:00 02/03/2017] id: Precautions el: 0 cu: MICU-A cg: RN v1: Universal st: NotStopd t0: [14:45:00 02/03/2017] id: Radiologic Study el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [14:45:00 02/03/2017] id: Respiratory Rate el: 0 cu: MICU-A cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:45:00 02/03/2017] id: Significant Events el: 0 cu: MICU-A cg: RN v1: Other/Remarks st: NotStopd t0: [14:45:00 02/03/2017] id: SpO2 el: 0 cu: MICU-A cg: RN v1: 97 u1: % st: NotStopd t0: [14:45:00 02/03/2017] id: calprevflg el: 0 cu: MICU-A cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 02/03/2017] id: Urine Out Foley el: 1 cu: MICU-A cg: RN vo: 400 vu: ml
tf: [17:00:00 07/03/2017] pt: Unit Dose rt: PO fr: Q24H fs: 17 dn: 1 m1: Pantoprazole v1: 40 u1: mg
tf: [20:00:00 03/03/2017] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Acetaminophen v1: 325-650 u1: mg
tf: [20:00:00 05/03/2017] pt: IV Piggyback rt: IV fr: Q12H fs: 0, 12 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml tf: [17:00:00 07/03/2017] pt: Unit Dose rt: IH fr: Q6H:PRN m1: Albuterol Inhaler v1: 1-2 u1: PUFF
tf: [17:00:00 07/03/2017] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Docusate Sodium v1: 100 u1: mg
tf: [01:00:00 03/03/2017] pt: IV Piggyback rt: IV fr: Q24H fs: 23 dn: 1 m1: Ceftriaxone v1: 2 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml
tf: [01:00:00 04/03/2017] pt: IV Piggyback rt: IV fr: ONCE fs: 2 dn: 1 m1: Ceftriaxone v1: 2 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml
tf: [17:00:00 07/03/2017] pt: IV Piggyback rt: IV fr: Q24H fs: 11 dn: 1 m1: Ceftriaxone v1: 2 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml
tf: [17:00:00 07/03/2017] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Phenytoin v1: 300 u1: mg
tf: [08:00:00 05/03/2017] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Oxycodone v1: 5-10 u1: mg tf: [17:00:00 07/03/2017] pt: Unit Dose rt: PO fr: Q4H fs: 21, 1, 5, 9, 13, 17 dn: 6 m1: Acetaminophen v1: 500 u1: mg tf: [17:00:00 07/03/2017] pt: Unit Dose rt: SC fr: Q8H fs: 21, 5, 13 dn: 3 m1: Heparin v1: 5000 u1: UNIT
tf: [14:00:00 03/03/2017] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Phenytoin v1: 300 u1: mg
tf: [17:00:00 07/03/2017] pt: Unit Dose rt: PO fr: Q12H fs: 9, 21 dn: 2 m1: Oxycodone (Sustained Release) v1: 10 u1: mg tf: [17:00:00 07/03/2017] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Oxycodone v1: 5-10 u1: mg
tf: [17:00:00 07/03/2017] pt: IV Piggyback rt: IV fr: Q12H fs: 21, 9 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
tf: [17:00:00 07/03/2017] pt: Unit Dose rt: NU fr: BID fs: 10, 22 dn: 2 m1: Oxymetazoline HCl v1: 1 u1: SPRY
tf: [17:00:00 07/03/2017] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Senna v1: 1 u1: TAB tf: [17:00:00 07/03/2017] pt: Unit Dose rt: PR fr: HS:PRN m1: Bisacodyl (Rectal) v1: 10 u1: mg
dd: 81200 ds: 2 ld: FX UP END HUMERUS NOS-CL dd: 8240 ds: 1 ld: FX MEDIAL MALLEOLUS-CLOS
dd: 34510 ds: 1 ld: GEN CONV EPILEP W/O INTR dd: 7242 ds: 2 ld: LUMBAGO
dd: 34591 ds: 1 ld: EPILEPSY, UNSPC W/INTRCT
dd: 34510 ds: 1 ld: GEN CONV EPILEP W/O INTR