| Height,3657 | |
| Height (cm),3657 | |
| Admission Weight (Kg),11876 | |
| WBC,19983 | |
| Prothrombin time,13729 | |
| Hematocrit (serum),23233 | |
| Platelet Count,20328 | |
| PTT,14138 | |
| Fibrinogen,1517 | |
| INR,13733 | |
| Hemoglobin,21203 | |
| Potassium (whole blood),3855 | |
| Arterial Base Excess,6353 | |
| Hematocrit (whole blood - calc),2107 | |
| Glucose (whole blood),4772 | |
| Arterial CO2 Pressure,6354 | |
| Lactic Acid,6052 | |
| Sodium (whole blood),2069 | |
| TCO2 (calc) Arterial,6347 | |
| PH (Arterial),6632 | |
| Arterial O2 pressure,6351 | |
| Chloride (whole blood),1252 | |
| Ionized Calcium,4411 | |
| Incision Drainage #1,8064 | |
| Position,97280 | |
| Arterial Line Zero/Calibrate,4874 | |
| Incision Dressing #1,4129 | |
| Cordis/Introducer Dressing Occlusive,1892 | |
| Arterial Line placed in outside facility,9468 | |
| Arterial Blood Pressure Alarm - High,6670 | |
| Pulmonary Artery Pressure Alarm - High,724 | |
| Incision Site #1,5067 | |
| Arterial Line Dressing Occlusive,8243 | |
| Parameters Checked,80356 | |
| Resp Alarm - High,42449 | |
| Incision Appearance #1,10307 | |
| Heart Rhythm,248177 | |
| PA Catheter Placement Confirmed by X-ray,811 | |
| 16 Gauge Site Appear,4353 | |
| Activity,71958 | |
| 16 Gauge placed in outside facility,7869 | |
| PA Catheter Waveform Appear,1002 | |
| O2 Saturation Pulseoxymetry Alarm - High,42447 | |
| Head of Bed,112973 | |
| PA Catheter Dressing Occlusive,997 | |
| Incision Closure #1,9302 | |
| 16 Gauge Dressing Occlusive,7893 | |
| PA Catheter Site Appear,1005 | |
| Alarms On,82582 | |
| Arterial line Site Appear,9808 | |
| Activity Tolerance,105587 | |
| Cordis/Introducer placed in outside facility,1738 | |
| PA Catheter Zero/Calibrate,459 | |
| Dressing Status #1,4258 | |
| Cordis/Introducer Site Appear,1868 | |
| Heart Rate Alarm - Low,43160 | |
| Central Venous Pressure Alarm - Low,1588 | |
| Resp Alarm - Low,42431 | |
| PA Catheter placed in outside facility,893 | |
| 16 Gauge placed in the field,6075 | |
| Heart rate Alarm - High,43097 | |
| Central Venous Pressure Alarm - High,1594 | |
| Pulmonary Artery Pressure Alarm - Low,725 | |
| ABP Alarm Source,6560 | |
| Arterial Blood Pressure Alarm - Low,6666 | |
| PAP Alarm Source,708 | |
| SpO2 Desat Limit,41025 | |
| Arterial line Waveform Appear,9760 | |
| Cordis/Introducer Placement Confirmed by X-ray,1423 | |
| O2 Saturation Pulseoxymetry Alarm - Low,42686 | |
| Pulmonary Artery Pressure diastolic,6752 | |
| Pulmonary Artery Pressure systolic,6752 | |
| Arterial Blood Pressure diastolic,45979 | |
| Heart Rate,271913 | |
| Respiratory Rate,266862 | |
| Arterial Blood Pressure systolic,45983 | |
| Pulmonary Artery Pressure mean,6724 | |
| Arterial Blood Pressure mean,46191 | |
| Central Venous Pressure,15139 | |
| O2 saturation pulseoxymetry,263099 | |
| Flow Rate (variable/fixed),7222 | |
| Cuff Pressure,1594 | |
| Plateau Pressure,3888 | |
| RUL Lung Sounds,64439 | |
| Humidification,7182 | |
| Minute Volume,8566 | |
| Slope,7267 | |
| ETT Mark (cm),6868 | |
| LUL Lung Sounds,64372 | |
| Mean Airway Pressure,8430 | |
| Minute Volume Alarm - Low,7985 | |
| Minute Volume Alarm - High,7966 | |
| ETT Location,6845 | |
| ETT Type,6843 | |
| Tidal Volume (set),6098 | |
| ETT Size (ID),6843 | |
| Ventilator Tank #2,3137 | |
| Respiratory Rate (Set),6349 | |
| Inspiratory Time,5972 | |
| Tidal Volume (observed),8356 | |
| RLL Lung Sounds,63888 | |
| Apnea Interval,7934 | |
| Ventilator Type,7942 | |
| Flow Sensitivity,7453 | |
| Ventilator Tank #1,3149 | |
| Respiratory Rate (spontaneous),7959 | |
| Fspn High,7234 | |
| O2 Delivery Device(s),72715 | |
| Peak Insp. Pressure,8256 | |
| LLL Lung Sounds,63721 | |
| Paw High,7957 | |
| PEEP set,8975 | |
| Respiratory Rate (Total),7659 | |
| Inspired O2 Fraction,13975 | |
| Inspiratory Ratio,4787 | |
| Flow Pattern,7417 | |
| Ventilator Mode,8148 | |
| Vti High,7679 | |
| Expiratory Ratio,4806 | |
| Known difficult intubation,3747 | |
| Blood Temperature CCO (C),1564 | |
| Total PEEP Level,3012 | |
| Ectopy Type 1,218891 | |
| Cardiac Output (CCO),1430 | |
| Chloride (serum),21016 | |
| BUN,20243 | |
| Creatinine (serum),20307 | |
| HCO3 (serum),20153 | |
| GCS - Verbal Response,104172 | |
| Braden Activity,45700 | |
| Oral Cavity,59580 | |
| RUE Temp,35973 | |
| Chest Tube Site # 2,1882 | |
| CT #1 Dressing,3439 | |
| GI #1 Tube Drainage,2806 | |
| Temporary Pacemaker Wires Atrial,2432 | |
| Cough Reflex,29776 | |
| CT #1 Suction Type,3473 | |
| Gag Reflex,29536 | |
| Temporary Atrial Capture,1548 | |
| Edema Amount,16587 | |
| Skin Condition,50520 | |
| Temporary Pacemaker Mode,3194 | |
| GI #1 Tube Status,4798 | |
| IV/Saline lock,37214 | |
| Temporary Atrial Sens,1642 | |
| Respiratory Effort,42401 | |
| GCS - Motor Response,103914 | |
| History of falling (within 3 mnths),37245 | |
| Gait/Transferring,37213 | |
| Pupil Response Left,76999 | |
| Pupil Size Left,77603 | |
| Temporary Pacemaker Wires Venticular,2616 | |
| Pupil Response Right,77239 | |
| PA Line cm Mark,1621 | |
| GI #1 Tube Place Method,2242 | |
| LUE Color,34717 | |
| Bowel Sounds,56151 | |
| Mental status,37161 | |
| Pain Present,89701 | |
| Abdominal Assessment,57284 | |
| Edema Location,46385 | |
| Urine Color,46324 | |
| CT #1 Fluctuate,3364 | |
| LLE Temp,36085 | |
| Dorsal PedPulse L,55509 | |
| Braden Moisture,45739 | |
| Skin Integrity,52293 | |
| Pain Level Acceptable,53782 | |
| Skin Temperature,51510 | |
| Braden Mobility,45714 | |
| PostTib. Pulses L,39753 | |
| Braden Friction/Shear,45511 | |
| Ambulatory aid,37199 | |
| Richmond-RAS Scale,58119 | |
| Temporary Atrial Sens Setting mV,1382 | |
| Pupil Size Right,77741 | |
| GI #1 Tube Place Check,3906 | |
| Level of Consciousness,36205 | |
| Secondary diagnosis,37264 | |
| Urine Source,59836 | |
| Side Rails,74894 | |
| Respiratory Pattern,43157 | |
| Braden Nutrition,45678 | |
| Pain Assessment Method,87642 | |
| Diet Type,57483 | |
| RLE Color,35713 | |
| Safety Measures,78886 | |
| GI #1 Tube Type,5679 | |
| Temporary Pacemaker Wire Condition,2963 | |
| Flatus,15597 | |
| Dorsal PedPulse R,56726 | |
| LUE Temp,35503 | |
| Cough Effort,44663 | |
| GI #1 Intub Site,5298 | |
| LLE Color,35210 | |
| Pain Level,54108 | |
| Skin Color,50767 | |
| Urine Appearance,42655 | |
| GCS - Eye Opening,104243 | |
| Temporary Pacemaker Type,3392 | |
| Orientation,63494 | |
| Braden Sensory Perception,45770 | |
| RUE Color,35126 | |
| Temporary Atrial Stim Setting mA,1336 | |
| RLE Temp,36614 | |
| PostTib. Pulses R,40795 | |
| GU Catheter Size,17860 | |
| CT #1 Crepitus,2785 | |
| CT #1 Drainage,3442 | |
| Chest Tube Site # 1,3547 | |
| CT #1 Leak,3349 | |
| CT #1 Suction Amount,3462 | |
| Temporary Pacemaker Rate,3075 | |
| Mixed Venous O2% Sat,252 | |
| Education Readiness,14919 | |
| Education Topic,29262 | |
| Family Communication,21246 | |
| Education Learner,29487 | |
| Education Method,29032 | |
| Education Barrier,29026 | |
| Education Response,28815 | |
| Support Systems,30294 | |
| SvO2,1350 | |
| Temporary Atrial Sens Threshold mV,1278 | |
| Temporary Venticular Sens Threshold mV,1379 | |
| Temporary Ventricular Sens,1728 | |
| Temporary Atrial Stim Threshold mA,1199 | |
| Temporary Ventricular Capture,1651 | |
| Temporary Venticular Stim Threshold mA,1379 | |
| Arterial O2 Saturation,1507 | |
| Assistance Device,44388 | |
| Turn,106029 | |
| Judgement,14586 | |
| Tobacco Use History,12204 | |
| Recreational drug use,12185 | |
| Current Used/mA,485 | |
| Dialysis patient,12179 | |
| Balance,14392 | |
| ETOH,13308 | |
| Visual / hearing deficit,13392 | |
| Unable to assess pain,2548 | |
| Appetite,12889 | |
| Discharge needs,6482 | |
| Use of assistive devices,12193 | |
| TOF Response,587 | |
| Intravenous / IV access prior to admission,16785 | |
| TOF Twitch,522 | |
| Special diet,12031 | |
| History of slips / falls,14754 | |
| Teaching directed toward,8633 | |
| Consults,5045 | |
| Difficulty swallowing,13591 | |
| Living situation,15797 | |
| Self ADL,15186 | |
| Unintentional weight loss >10 lbs.,11971 | |
| Nerve Stimulated,526 | |
| Tidal Volume (spontaneous),3219 | |
| PSV Level,3300 | |
| Problem List,13824 | |
| Radial Pulse R,26271 | |
| Radial Pulse L,25282 | |
| LL Strength/Movement,28728 | |
| NBP Alarm Source,37844 | |
| Skin Care,10500 | |
| Anti Embolic Device,67397 | |
| Subglottal Suctioning,3980 | |
| Pain Management,58938 | |
| Spontaneous Movement,32645 | |
| Signs of Injury from Intervention,9246 | |
| Reason for Restraint (Non-violent),8818 | |
| Therapeutic Bed,82065 | |
| Oral Care,24888 | |
| Back Care,10714 | |
| Circulation/Skin Integrity,10358 | |
| RU Strength/Movement,28797 | |
| Less Restrictive Measures,9210 | |
| Warming Device Status,2110 | |
| Status and Comfort,9215 | |
| Restraint (Non-violent),11703 | |
| Daily Wake Up,47445 | |
| RL Strength/Movement,28764 | |
| Response,30347 | |
| Restraint Device (Non-violent),10057 | |
| Non-Invasive Blood Pressure Alarm - Low,38816 | |
| Face to Face Eval (Non-violent),7769 | |
| Restraints Evaluated,9512 | |
| Urinal/Bedpan,9157 | |
| Range of Motion,9955 | |
| Speech,93410 | |
| LU Strength/Movement,28779 | |
| Pressure Reducing Device,39899 | |
| Restraint Ordered (Non-violent),8568 | |
| Position Change,9595 | |
| Restraint Location,10243 | |
| Patient/Family Informed,9446 | |
| Response to Stimuli (Type),31279 | |
| Food and Fluid,9055 | |
| Non-Invasive Blood Pressure Alarm - High,38815 | |
| Side Rails,9259 | |
| Warming Device,2759 | |
| Impaired Skin Treatment #1,6068 | |
| Impaired Skin Site #1,8231 | |
| Surrounding Tissue #1,6891 | |
| Impaired Skin Type #1,7777 | |
| Impaired Skin - Dressing Status #1,3392 | |
| Impaired Skin Odor #1,5788 | |
| Impaired Skin Wound Base #1,6257 | |
| Impaired Skin Drainage #1,8657 | |
| Glucose finger stick (range 70-100),26487 | |
| Eye Care,6387 | |
| Bed Bath,2498 | |
| Anion gap,19987 | |
| Sodium (serum),21045 | |
| Glucose (serum),19829 | |
| Potassium (serum),21210 | |
| Magnesium,18699 | |
| Spont Vt,602 | |
| Spont RR,601 | |
| Daily Weight,4202 | |
| Cooling Device,688 | |
| Cooling Device Status,588 | |
| Pain Location,63872 | |
| Pain Cause,37331 | |
| Cough Type,29564 | |
| O2 Flow,29203 | |
| Pain Type,47826 | |
| Admission Weight (lbs.),14173 | |
| Ectopy Frequency 1,27734 | |
| Code Status,8348 | |
| Service,9938 | |
| Sputum Color,3165 | |
| Sputum Consistency,3012 | |
| Sputum Amount,4901 | |
| Sputum Source,4474 | |
| Pain Level Response,28944 | |
| 16 G Infiltration Scale,3710 | |
| 20 Gauge placed in the field,32872 | |
| 20 Gauge Site Appear,17061 | |
| 20 Gauge Dressing Occlusive,40206 | |
| Non Invasive Blood Pressure mean,213333 | |
| 20 Gauge placed in outside facility,40049 | |
| Non Invasive Blood Pressure systolic,213818 | |
| Non Invasive Blood Pressure diastolic,213759 | |
| Temperature Site,85377 | |
| Temperature Fahrenheit,81037 | |
| Cordis/Introducer Discontinued,150 | |
| Strength L Arm,60570 | |
| Assistance,64317 | |
| Incision #1- Dressing Status,4607 | |
| Arterial Line Tip Cultured,365 | |
| Incision #1- Treatment,4718 | |
| 16 G Phlebitis Scale,3747 | |
| Breathing pattern/effort,19102 | |
| Visual Field Cut,31483 | |
| Activity / Mobility (JH-HLM),43957 | |
| 22 Gauge Dressing Occlusive,6884 | |
| All Medications Tolerated without Adverse Side Effects,26404 | |
| ST Segment Monitoring On,49731 | |
| Pronator Drift,32324 | |
| Extraocular Movements,17975 | |
| 18 Gauge Dressing Occlusive,38226 | |
| 18 G Phlebitis Scale,21059 | |
| Facial Droop,45439 | |
| Delirium assessment,24593 | |
| Strength R Leg,60546 | |
| 22 G Phlebitis Scale,3854 | |
| Commands,58429 | |
| Goal Richmond-RAS Scale,44706 | |
| Current Dyspnea Assessment,13335 | |
| Incision Drainage Amount #1,5242 | |
| 22 Gauge placed in the field,5743 | |
| Shoulder Shrug,18479 | |
| CAM-ICU MS Change,23081 | |
| Incision #1- Location,6430 | |
| 22 Gauge placed in outside facility,6842 | |
| Strength L Leg,60466 | |
| Commands Response,59915 | |
| 18 G Infiltration Scale,20836 | |
| Tongue,20482 | |
| Strength R Arm,60598 | |
| 22 G Infiltration Scale,3796 | |
| 18 Gauge placed in outside facility,38010 | |
| 18 Gauge placed in the field,31224 | |
| Social work consult,10980 | |
| Insulin pump,14328 | |
| Sexuality / reproductive problems,10426 | |
| Emotional / physical / sexual harm by partner or close relation,10697 | |
| Currently experiencing pain,12946 | |
| Pressure Ulcer Present,10739 | |
| Home TF,11040 | |
| Any fear in relationships,11861 | |
| Baseline pain level,5950 | |
| Pain NCP - Problem resolved,5321 | |
| Coping/Knowledge Deficit NCP - Problem resolved,3804 | |
| Acuity Workload Question 2,9451 | |
| Coping/Knowledge Deficit NCP - Interventions,4079 | |
| Pain NCP - Interventions,5906 | |
| Pain NCP - Expected outcomes,3126 | |
| Pain NCP - Plan revised,3293 | |
| Acuity Workload Question 1,9458 | |
| Coping/Knowledge Deficit NCP - Expected outcomes,4268 | |
| Coping/Knowledge Deficit NCP - Plan revised,2056 | |
| Calcium non-ionized,17975 | |
| Phosphorous,17980 | |
| Capillary Refill L,31037 | |
| RUE Sensation,9195 | |
| Capillary Refill R,32126 | |
| Neurological Symptoms,11691 | |
| Education Readiness/Motivation,13951 | |
| Cerebellar - Heel -> Shin,2419 | |
| Cerebellar - Finger -> Nose,5936 | |
| RLE Sensation,9055 | |
| Education Existing Knowledge,13843 | |
| Anti Embolic Device Status,56439 | |
| LLE Sensation,8853 | |
| LUE Sensation,8974 | |
| Nares R,37661 | |
| Nares L,36743 | |
| Called Out,4068 | |
| 22 Gauge Reason Discontinued,209 | |
| 16 Gauge Reason Discontinued,302 | |
| Infection NCP - Expected outcomes,2743 | |
| Infection NCP - Plan revised,1393 | |
| Discharge NCP - Expected outcomes,3666 | |
| Infection NCP - Problem resolved,2359 | |
| Discharge NCP - Interventions,3581 | |
| Infection NCP - Interventions,2628 | |
| Foley Cath Insertion Location,6052 | |
| Is the spokesperson the Health Care Proxy,9611 | |
| Vaulables Checklist,1767 | |
| AST,5078 | |
| Albumin,2809 | |
| Total Bilirubin,4967 | |
| ALT,5072 | |
| Alkaline Phosphate,4933 | |
| LDH,2964 | |
| PICC Line Placement Confirmed by X-ray,712 | |
| PICC - Heparin Dependent,116 | |
| Sheath placed in outside facility,566 | |
| PICC Line Site Appear,900 | |
| Sheath Placement Confirmed by X-ray,256 | |
| Sheath Site Appear,572 | |
| PICC Line Power PICC,156 | |
| PICC Line placed in outside facility,954 | |
| Sheath Type,112 | |
| Impaired Tissue Perfusion NCP - Plan revised,2647 | |
| Impaired Tissue Perfusion NCP - Interventions,4541 | |
| Impaired Tissue Perfusion NCP - Expected outcomes,4567 | |
| Impaired Tissue Perfusion NCP - Problem resolved,4270 | |
| Untoward Effect,26301 | |
| Activity / Mobility (RN Daily Mobility Goal),127 | |
| CAUTI Info Given,1131 | |
| Range of Motion Location,1273 | |
| Range of Motion Status,1272 | |
| Bath,9047 | |
| Stool Color,4041 | |
| Stool Consistency,3898 | |
| Stool Management,1348 | |
| Discharge NCP - Plan revised,1781 | |
| Impaired Fluid Balance NCP - Plan revised,737 | |
| Impaired Fluid Balance NCP - Problem resolved,1138 | |
| Discharge NCP - Problem resolved,3294 | |
| Impaired Fluid Balance NCP - Interventions,1264 | |
| Impaired Fluid Balance NCP - Expected outcomes,1286 | |
| See chart for initial patient assessment,3393 | |
| Communication,10111 | |
| Riker-SAS Scale,17958 | |
| Behavior,10820 | |
| Neuro Symptoms,4332 | |
| Follows Commands,9873 | |
| Risk for Falls,10666 | |
| Dialysis Catheter Site Appear,339 | |
| ART Lumen Volume,66 | |
| VEN Lumen Volume,66 | |
| Dialysis Catheter Type,279 | |
| Dialysis Catheter Dressing Occlusive,286 | |
| Dialysis Catheter placed in outside facility,348 | |
| Interpreter,5276 | |
| Daily Wake Up Deferred,14677 | |
| Differential-Eos,3177 | |
| Differential-Neuts,3177 | |
| Differential-Monos,3177 | |
| Differential-Lymphs,3177 | |
| Differential-Basos,3177 | |
| TCO2 (calc) Venous,1765 | |
| PH (Venous),2224 | |
| Venous O2 Pressure,1764 | |
| Venous CO2 Pressure,1765 | |
| 18 Gauge Site Appear,17302 | |
| Side Rails_V2,5889 | |
| Corneal Reflex Left,13303 | |
| Corneal Reflex Right,13702 | |
| Seizure Activity,7841 | |
| PH (dipstick),2230 | |
| Specific Gravity (urine),2125 | |
| Tremor (CIWA),4750 | |
| Orient/Clouding Sensory,4690 | |
| Sustained Nystagmus,3913 | |
| Auditory Disturbance,4730 | |
| Nausea and Vomiting (CIWA),4760 | |
| Insomnia,4591 | |
| Tactile Disturbances,4730 | |
| Ataxia,3708 | |
| Visual Disturbances,4725 | |
| Agitation,4709 | |
| Headache,4730 | |
| Slurred Speech,3965 | |
| Drowsiness,3886 | |
| Seizure,4560 | |
| Anxiety,4749 | |
| Paroxysmal Sweats,4751 | |
| Sitter,276 | |
| High risk (>51) interventions,10256 | |
| Pronator drift present,6316 | |
| CV - past medical history,9219 | |
| Orientation to Time,31453 | |
| Angio Appearance # 1,13911 | |
| Orientation to Place,31670 | |
| Angio Site # 1,13978 | |
| Angio Dressing # 1,13275 | |
| Orientation to Person,31922 | |
| Cough/Deep Breath,8582 | |
| Post-op Care NCP - Interventions,3022 | |
| Post-op Care NCP - Expected outcomes,3055 | |
| Post-op Care NCP - Plan revised,1805 | |
| Post-op Care NCP - Problem resolved,2808 | |
| Past medical history,7325 | |
| Unable to assess teaching / learning needs,3775 | |
| Unable to assess psychological,4708 | |
| Unable to assess activity / mobility,3585 | |
| Unable to assess habits,2734 | |
| Unable to assess nutrition / education,4054 | |
| Unable to assess cognitive / perceptual,3211 | |
| Compression device # 1,4091 | |
| PICC Line Dressing Occlusive,806 | |
| Lipase,751 | |
| Amylase,483 | |
| Post menopausal,2422 | |
| Impaired Skin Cleanse #1,3594 | |
| Pressure Ulcer Stage #1,1255 | |
| Feeding Weight,184 | |
| Stool Guaiac,923 | |
| 20 G Phlebitis Scale,22825 | |
| 20 G Infiltration Scale,22592 | |
| 18 Gauge Reason Discontinued,971 | |
| CK-MB,4625 | |
| CK (CPK),4507 | |
| Troponin-T,5267 | |
| CK-MB fraction (%),1321 | |
| Heart Sounds,32 | |
| Ulnar Pulse L,648 | |
| Ulnar Pulse R,946 | |
| C Reactive Protein (CRP),244 | |
| 20 Gauge Reason Discontinued,1065 | |
| Incentive Spirometry,5483 | |
| Health Care Proxy,2477 | |
| Pregnant,3273 | |
| Tobacco use,188 | |
| ICU Consent Signed,1921 | |
| Temperature Celsius,6046 | |
| Cardiac Output (thermodilution),1158 | |
| Impaired Skin #1- Type,5242 | |
| Impaired Skin #1- Dressing Status,2097 | |
| NMB Medication,271 | |
| Impaired Skin #1- Location,5389 | |
| CT #3 Drainage,136 | |
| CT #2 Fluctuate,991 | |
| CT #2 Leak,988 | |
| CT #3 Crepitus,110 | |
| CT #3 Leak,131 | |
| CT #3 Suction Amount,182 | |
| CT #2 Suction Amount,1261 | |
| CT #3 Dressing,140 | |
| CT #3 Suction Type,183 | |
| Impaired Skin #1- Treatment,3449 | |
| CT #2 Dressing,1023 | |
| Impaired Skin Drainage Amount #1,6069 | |
| CT #2 Suction Type,1293 | |
| Chest Tube Site #3,429 | |
| CT #3 Fluctuate,132 | |
| CT #2 Drainage,1003 | |
| CT #2 Crepitus,762 | |
| PCA dose,3280 | |
| PCA 1 hour limit,3295 | |
| PCA lockout (min),3288 | |
| PCA medication,3340 | |
| PCA 1 hour limit units,3098 | |
| PCA concentrations,421 | |
| PCA dose units,3203 | |
| Bladder scanned,571 | |
| Altered Respiratory Status NCP - Expected outcomes,3177 | |
| Altered Respiratory Status NCP - Interventions,3104 | |
| LDL calculated,1037 | |
| HDL,1067 | |
| Cholesterol,1082 | |
| Triglyceride,1166 | |
| Direct Bilirubin,227 | |
| ART Blood Pressure Alarm - Low,353 | |
| ART Blood Pressure Alarm Source,361 | |
| ART Blood Pressure Alarm - High,353 | |
| Incision Appearance #2,2690 | |
| Incision Cleansing #2,414 | |
| Tunneling Present #1,1810 | |
| Incision Drainage #2,2138 | |
| Undermining Present #1,1536 | |
| Incision Site #2,1650 | |
| Incision Drainage Amount #2,1145 | |
| Incision Closure #2,2479 | |
| Incision Dressing #2,1493 | |
| Dressing Status #2,1505 | |
| Baseline Current/mA,150 | |
| CHG Bath,585 | |
| Surrounding Tissue #2,2653 | |
| Impaired Skin Type #2,3213 | |
| Impaired Skin Site #2,3314 | |
| Impaired Skin Drainage #2,3396 | |
| Impaired Skin Wound Base #2,2589 | |
| Impaired Skin Drainage Amount #2,2466 | |
| Temporary Ventricular Stim Setting mA,991 | |
| Temporary Ventricular Sens Setting mV,962 | |
| Arterial Line Discontinued,881 | |
| Cordis/Introducer Line Tip Cultured,95 | |
| Precautions: Standard +,1920 | |
| Multi Lumen Site Appear,4567 | |
| Multi Lumen placed in outside facility,4421 | |
| Multi Lumen Placement Confirmed by X-ray,3410 | |
| Multi Lumen Waveform Appear,2539 | |
| Multi Lumen Dressing Occlusive,3784 | |
| Motor R Arm,5802 | |
| Motor R Leg,5789 | |
| Motor L Leg,5799 | |
| Motor L Arm,5820 | |
| O2 Flow (additional cannula),1277 | |
| OCAT - Lips Tongue Gums Palate,515 | |
| "OCAT - Saliva secretions, Voice quality",514 | |
| OCAT - Swallow,511 | |
| OCAT - Teeth,515 | |
| Multi Lumen Line Tip Cultured,168 | |
| Multi Lumen Line Discontinued,151 | |
| Altered Mental Status NCP - Plan revised,1627 | |
| Altered Mental Status NCP - Expected outcomes,2968 | |
| Altered Mental Status NCP - Problem resolved,2693 | |
| Legal Guardian,1567 | |
| Altered Mental Status NCP - Interventions,2907 | |
| EtCO2,934 | |
| Absolute Count - Eos,901 | |
| Absolute Count - Monos,901 | |
| Absolute Count - Basos,901 | |
| Differential - Immature Granulocytes,770 | |
| Absolute Count - Neuts,901 | |
| Absolute Count - Lymphs,901 | |
| CPOT-Vocalization (CPOTb),805 | |
| CPOT-Body Movements (CPOTb),810 | |
| CPOT-Muscle Tension (CPOTb),813 | |
| CPOT-Pain Assessment Method,1309 | |
| CPOT-Facial Expression (CPOTb),815 | |
| Indwelling Urinary Catheter Care,440 | |
| Bladder Scan Estimate,595 | |
| CAM-ICU Inattention,2777 | |
| Altered Respiratory Status NCP - Plan revised,1812 | |
| Brachial Pulse L,483 | |
| Brachial Pulse R,489 | |
| Altered Respiratory Status NCP - Problem resolved,2850 | |
| Test Performed (AM-PAC),102 | |
| Discharge Recommendations (AM-PAC),99 | |
| Basic Mobility (AM-PAC),87 | |
| Impaired Mobility NCP - Plan revised,534 | |
| Impaired Mobility NCP - Interventions,516 | |
| Impaired Mobility NCP - Problem resolved,499 | |
| Impaired Mobility NCP - Expected outcomes,1224 | |
| Substance withdrawal NCP - Problem resolved,814 | |
| Safety Restraints NCP - Problem resolved,1307 | |
| Substance withdrawal NCP - Plan revised,501 | |
| Substance withdrawal NCP - Expected outcomes,878 | |
| Safety Restraints NCP - Expected outcomes,1501 | |
| Substance withdrawal NCP - Interventions,860 | |
| Safety Restraints NCP - Interventions,1406 | |
| Safety Restraints NCP - Plan revised,674 | |
| Impaired Skin Odor #2,2179 | |
| Impaired Skin #2- Cleanse,330 | |
| Impaired Skin #2- Location,1878 | |
| Impaired Skin Width #1,2139 | |
| Impaired Skin Length #1,2416 | |
| Impaired Skin #2- Dressing Status,527 | |
| Impaired Skin #2- Type,1839 | |
| Impaired Skin #2- Treatment,1170 | |
| PAR-Consciousness,1121 | |
| PAR-Activity,1124 | |
| PAR-Circulation,1115 | |
| PAR-Respiration,1124 | |
| PAR-Oxygen saturation,1111 | |
| Phenytoin (Dilantin),366 | |
| PCA basal rate (mL/hour),1535 | |
| PCA total dose,2097 | |
| PCA attempt,2672 | |
| PCA total dose units,1764 | |
| PCA cleared,2010 | |
| Epidural Medication,987 | |
| Epidural Appearance,877 | |
| Epidural Infusion Rate (mL/hr),991 | |
| Epidural Location,1000 | |
| Motor Deficit,833 | |
| Altered Sensory Perception NCP - Plan revised,950 | |
| Altered Sensory Perception NCP - Expected Outcomes,1643 | |
| Altered Sensory Perception NCP - Interventions,1598 | |
| Altered Sensory Perception NCP - Problem resolved,1587 | |
| Pressure Ulcer #1- Type,752 | |
| Pressure Ulcer #1- Location,808 | |
| Pressure ulcer #1- Stage,704 | |
| Pressure ulcer #1- Surrounding tissue,633 | |
| Pressure ulcer #1- Wound Base,468 | |
| Pressure Ulcer #1- Treatment,496 | |
| Small Volume Neb Drug/Dose #1,1335 | |
| Cervical Collar Status,4460 | |
| 22 Gauge Site Appear,2830 | |
| Cervical Collar Type,4703 | |
| CAM-ICU Altered LOC,1540 | |
| Assist Device,160 | |
| AV Fistula R Bruit,88 | |
| AV Fistula R Thrill,81 | |
| Ultrafiltrate Output,120 | |
| AV Fistula L Thrill,198 | |
| AV Fistula L Bruit,205 | |
| Blood Transfusion Consent,694 | |
| Stool Guaiac QC,460 | |
| Hemodialysis Output,69 | |
| GI Guaiac,269 | |
| Popliteal Pulse R,317 | |
| Femoral Pulse L,548 | |
| Popliteal Pulse L,299 | |
| Femoral Pulse R,810 | |
| CAM-ICU Disorganized thinking,1195 | |
| Brain Natiuretic Peptide (BNP),204 | |
| Traction/Immobile #1,188 | |
| NIV Mask,121 | |
| Sed Rate,79 | |
| Negative Insp. Force,154 | |
| Vital Cap,142 | |
| CAM-ICU MS change,425 | |
| Cerebral Perfusion Pressure,347 | |
| Intra Cranial Pressure,743 | |
| Neuro Drain #1 Status,636 | |
| Neuro Drain #2 Level,20 | |
| Neuro Drain #2 Type,64 | |
| Neuro Drain #2 Drainage,59 | |
| RSBI Deferred,536 | |
| Neuro Drain #1 Type,1185 | |
| Neuro Drain #1 Drainage,595 | |
| Neuro Drain #1 Level,414 | |
| Neuro Drain #1 Landmark,468 | |
| Neuro Drain #2 Landmark,50 | |
| Neuro Drain #2 Status,59 | |
| Intra Cranial Pressure #2,16 | |
| Serum Osmolality,648 | |
| Spiritual Support,581 | |
| Cerebral Perfusion Pressure Alarm - Low,15 | |
| Cerebral Perfusion Pressure Alarm - High,14 | |
| Intra Cranial Pressure Alarm - High,71 | |
| Intra Cranial Pressure #2 Alarm - Low,1 | |
| Intra Cranial Pressure #2 Alarm - High,1 | |
| Intra Cranial Pressure Alarm - Low,72 | |
| ETT Re-taped,176 | |
| Impaired Skin #1- Cleanse,871 | |
| GI #1 Tube Mark (CM),690 | |
| Impaired Skin #3- Type,671 | |
| Impaired Skin #3- Location,688 | |
| Impaired Skin Odor #3,890 | |
| Impaired Skin Drainage #3,1361 | |
| Impaired Skin Drainage Amount #3,985 | |
| Surrounding Tissue #3,1053 | |
| Phenobarbital,23 | |
| Total Protein,207 | |
| Metabolic disturbance NCP - Problem resolved,224 | |
| Metabolic disturbance NCP - Expected outcomes,227 | |
| Metabolic disturbance NCP - Interventions,217 | |
| Metabolic disturbance NCP - Plan revised,131 | |
| Pericardial Drain Site,732 | |
| Pericardial Drain Drainage,669 | |
| Pericardial Drain Status,739 | |
| Flow Rate (L/min),1190 | |
| Multi Lumen Zero/Calibrate,929 | |
| Absolute Neutrophil Count,24 | |
| Ventilator Mode (Hamilton),1455 | |
| Incision #2- Location,1335 | |
| Incision #2- Treatment,1062 | |
| Incision #2- Dressing Status,1068 | |
| GI Guaiac QC,73 | |
| PAR-Remain sedated,427 | |
| Impaired Skin Site #3,1391 | |
| Impaired Skin Type #3,1365 | |
| Knee Location - Immobilizer,1143 | |
| Knee Immobilizer Status,849 | |
| Compression device # 3,44 | |
| Angio Site # 3,106 | |
| Sheath Line Dressing Occlusive,492 | |
| Angio Dressing # 3,98 | |
| Angio Dressing # 4,10 | |
| Angio Appearance # 2,2811 | |
| Angio Appearance # 4,10 | |
| Angio Site # 4,10 | |
| Sheath Size,388 | |
| Compression device # 4,2 | |
| Angio Dressing # 2,2662 | |
| Angio Appearance # 3,103 | |
| Angio Site # 2,2810 | |
| Sheath Waveform Appear,270 | |
| Permanent Pacemaker Mode,418 | |
| Code Status.,182 | |
| HEENT,136 | |
| Cardiovascular,142 | |
| Vascular,110 | |
| Neurological,94 | |
| Hematological / Skin,61 | |
| Constitutional,140 | |
| Respiratory,144 | |
| Febrile last 24 hours,88 | |
| Abdominal - (GI / Hepatic / Renal),112 | |
| Impaired Skin #4- Location,291 | |
| Impaired Skin #4- Cleanse,53 | |
| Impaired Skin #3- Treatment,425 | |
| Impaired Skin Drainage Amount #4,403 | |
| Surrounding Tissue #4,462 | |
| Impaired Skin #4- Treatment,178 | |
| Impaired Skin #3- Cleanse,145 | |
| Collar Care,609 | |
| Impaired Skin #4- Type,288 | |
| PCA inject,2672 | |
| Non-Violent Restraints Ordered,245 | |
| Restraints Evaluated_V2,296 | |
| Immobilizer,979 | |
| Restraint Device (Non-Violent),359 | |
| Less Restrictive Measures_V1,291 | |
| Non-Violent Restraints,542 | |
| Reason for Restraints (Non-Violent),341 | |
| Patient/Family Informed_V2,871 | |
| Face to Face Eval (Non-Violent),287 | |
| Side Rails (Restraint),372 | |
| Restraint Location_V2,375 | |
| SBT Deferred,168 | |
| Pressure Ulcer #1- Depth,132 | |
| Pressure ulcer #1- Drainage amount,219 | |
| Pressure ulcer #1- Tunneling present,359 | |
| Pressure ulcer #1- Dressing status,373 | |
| Pressure ulcer #1- Odor,219 | |
| Pressure ulcer #1- Length,398 | |
| Pressure ulcer #1- Drainage,318 | |
| Pressure ulcer #1- Cleanse,153 | |
| Pressure Ulcer #1- Width,385 | |
| Pressure ulcer #1- Undermining present,307 | |
| Impaired Skin Length #2,1038 | |
| Impaired Skin Width #2,942 | |
| Graft/Flap Pulse,190 | |
| Stroke NCP - Type,1468 | |
| Stroke NCP - Expected outcomes,1425 | |
| Stroke NCP - Water Swallow,1497 | |
| Stroke NCP - Interventions,1420 | |
| Stroke NCP - Plan revised,1363 | |
| Stroke NCP - Problem resolved,1321 | |
| Stroke NCP - Problem,1433 | |
| Stroke NCP - Consults,265 | |
| Differential-Atyps,524 | |
| Differential-Bands,582 | |
| Trauma Line Site Appear,101 | |
| Trauma Line Dressing Occlusive,101 | |
| Trauma Line placed in outside facility,103 | |
| Impaired Fluid Balance NCP - Outcomes met,33 | |
| Impaired Fluid Balance NCP - Goal,47 | |
| Pain NCP - Outcomes met,36 | |
| Pain NCP - Goal,51 | |
| Manual Blood Pressure Diastolic Right,137 | |
| Manual Blood Pressure Systolic Left,176 | |
| Face to Face Eval (Violent),563 | |
| Restraints Ordered (Violent),499 | |
| Restraint Device (Violent),759 | |
| Restraint/Seclusion Observer Sheet,515 | |
| Manual Blood Pressure Systolic Right,138 | |
| Manual Blood Pressure Diastolic Left,176 | |
| Reason for Restraint (Violent),547 | |
| Restraints (Violent),580 | |
| Impaired Skin Treatment #2,2552 | |
| Impaired Skin - Dressing Status #2,927 | |
| Undermining Present #2,566 | |
| Tunneling Present #2,663 | |
| Impaired Skin - Dressing Status #3,372 | |
| Impaired Skin Treatment #3,1088 | |
| Undermining Present #3,232 | |
| Tunneling Present #3,255 | |
| Impaired Skin Width #3,422 | |
| Impaired Skin Length #3,459 | |
| Impaired Skin Type #4,590 | |
| Impaired Skin Site #4,600 | |
| BiPap Mode,253 | |
| BiPap EPAP,226 | |
| BiPap O2 Flow,228 | |
| BiPap IPAP,207 | |
| BiPap Mask,282 | |
| Activity Intolerance NCP - Plan revised,205 | |
| Activity Intolerance NCP - Problem resolved,196 | |
| Activity Intolerance NCP - Expected outcomes,581 | |
| Activity Intolerance NCP - Interventions,203 | |
| Emesis Appearance,627 | |
| Temporary Pacemaker Wires Ground,184 | |
| PA Catheter Discontinued,95 | |
| D-Dimer,96 | |
| SBT Started,546 | |
| Clots,153 | |
| Lochia Estimate,170 | |
| Pad Change/Hour,192 | |
| Lochia Character,133 | |
| Incision #1- Cleanse,199 | |
| ETT Position Change,113 | |
| ETT Mark (location),1672 | |
| CO2 production,329 | |
| SBT Successfully Completed,333 | |
| Vancomycin (Random),97 | |
| Central Venous O2% Sat,68 | |
| Arctic Sun Temp #1 Location,705 | |
| Shivering Assessment,380 | |
| Arctic Sun/Alsius Set Temp,493 | |
| Arctic Sun Temp #2 Location,615 | |
| Arctic Sun/Alsius Temp #2 C,584 | |
| Arctic Sun/Alsius Temp #1 C,670 | |
| Arctic Sun Water Temp,483 | |
| BIS Index Range,107 | |
| BIS - EMG,108 | |
| BIS - SQI,107 | |
| Line Type,832 | |
| Palliative Care NCP - Interventions,227 | |
| Palliative Care NCP - Problem resolved,218 | |
| Palliative Care NCP - Expected outcomes,232 | |
| Palliative Care NCP - Plan revised,157 | |
| PCA bolus units,268 | |
| PCA bolus,566 | |
| Autoset/CPAP,392 | |
| Cortisol,181 | |
| Chest PT R/L,227 | |
| PT Splint Status #1,854 | |
| PT Splint Location #1,951 | |
| Compression device # 2,709 | |
| Altered Skin Integrity NCP - Plan revised,424 | |
| Altered Skin Integrity NCP - Problem resolved,739 | |
| Humidifier Water Changed,641 | |
| Humidifier Water % Fill Level,659 | |
| Inspired Gas Temp.,1014 | |
| LDL measured,72 | |
| Altered Skin Integrity NCP - Expected outcomes,974 | |
| IABP Balloon Waveform,160 | |
| IABP Position on leg,160 | |
| IABP Trigger,160 | |
| IABP Size,153 | |
| IABP Zero/Calibrate,157 | |
| Sheath Zero/Calibrate,106 | |
| IABP Helium Tubing,159 | |
| IABP Dressing Occlusive,95 | |
| IABP Volume,155 | |
| IABP Power Source,141 | |
| IABP Alarms Activated,146 | |
| IABP Arterial Waveform Source,156 | |
| IABP placed in outside facility,158 | |
| IABP Site Appear,162 | |
| IABP Art. Waveform Appear,156 | |
| Assisted Systole,536 | |
| Plateau Pressure (IABP),244 | |
| Unassisted Systole,532 | |
| Augmented Diastole,533 | |
| BAEDP,532 | |
| Intra Aortic Balloon Pump Setting,474 | |
| IABP Mean,507 | |
| PAEDP,531 | |
| Sheath Line Discontinued,50 | |
| IABP Line Discontinued,11 | |
| Immobilizer Location,715 | |
| Immobilizer Device,722 | |
| PA Catheter Line Tip Cultured,56 | |
| Transcutaneous Pacer Placement,155 | |
| Impaired Skin Cleanse #2,1678 | |
| Pressure Ulcer Stage #2,491 | |
| MDI #1 Drug,383 | |
| MDI #1 Puff,300 | |
| Cuff Volume (mL),74 | |
| Doppler BP,9 | |
| Immobilizer Evaluated,658 | |
| Reason for Immobilizer,694 | |
| Midline Placement Confirmed by X-ray,72 | |
| Midline placed in outside facility,149 | |
| Epidural Bolus (mL),268 | |
| Sensory Level,532 | |
| Epidural Total Dose (mL),134 | |
| PT Splint Status #2,94 | |
| PT Splint Location #2,103 | |
| Self harm NCP - Plan revised,141 | |
| Self harm NCP - Problem resolved,233 | |
| Self harm NCP - Expected outcomes,259 | |
| Self harm NCP - Interventions,248 | |
| IO Site Appearance,91 | |
| IO Placed in outside facility,106 | |
| IO Dressing,91 | |
| Part 1 Question,154 | |
| Swallow Eval,151 | |
| Part 2 Question,145 | |
| Altered Mental Status NCP - Goal,57 | |
| Altered Mental Status NCP - outcomes met,33 | |
| CPOT-Facial Expression (CPOTa),251 | |
| CPOT-Pain Management,577 | |
| CPOT-Body Movements (CPOTa),247 | |
| CPOT-Vocalization (CPOTa),243 | |
| CPOT-Muscle Tension (CPOTa),245 | |
| Cont. Neb Med Dose,12 | |
| Cont Neb - Med,27 | |
| Pheresis Catheter Dressing Occlusive,23 | |
| Pheresis Catheter Site Appear,42 | |
| Pheresis Catheter Type,36 | |
| Pheresis Catheter Placement Confirmed by X-ray,30 | |
| Pheresis Catheter Line Tip Cultured,1 | |
| Pheresis Catheter placed in outside facility,43 | |
| Stroke NCP - Water Swallow Deferred,242 | |
| Ectopy Type 2,1981 | |
| GI #2 Tube Type,131 | |
| GI #2 Intub Site,126 | |
| GI #2 Tube Status,126 | |
| Impaired Skin Type #6,116 | |
| Impaired Skin Drainage Amount #6,70 | |
| Impaired Skin Odor #6,56 | |
| Impaired Skin Cleanse #6,63 | |
| Impaired Skin Drainage #6,91 | |
| Impaired Skin Site #6,117 | |
| Impaired Skin Treatment #6,86 | |
| Impaired Skin Treatment #5,193 | |
| Impaired Skin Treatment #4,481 | |
| Impaired Skin Odor #5,129 | |
| Impaired Skin Cleanse #4,361 | |
| Impaired Skin Site #5,236 | |
| Impaired Skin Type #5,233 | |
| Impaired Skin Cleanse #5,130 | |
| Impaired Skin Drainage #5,197 | |
| Impaired Skin Cleanse #3,700 | |
| Impaired Skin Drainage Amount #5,129 | |
| Impaired Skin Drainage #4,592 | |
| Impaired Skin Odor #4,333 | |
| Impaired Skin - Dressing Status #4,144 | |
| Impaired Skin Wound Base #4,461 | |
| Impaired Skin Wound Base #3,1084 | |
| Impaired Skin #4- Dressing Status,62 | |
| ART BP Systolic,3571 | |
| ART BP Mean,3604 | |
| ART BP Diastolic,3566 | |
| Permanent Pacemaker Rate,198 | |
| No Pressure Injury Present,91 | |
| Risk Factors for Pressure Injury,65 | |
| Altered Skin Integrity NCP - Interventions,852 | |
| Uric Acid,121 | |
| Impaired Skin Depth #1,712 | |
| Impaired Skin Depth #2,243 | |
| Impaired Skin Depth #3,139 | |
| Pressure Ulcer Stage #3,225 | |
| Digoxin,93 | |
| Small Volume Neb Dose #2,28 | |
| Incision #2- Cleanse,36 | |
| Peritoneal Dialysis Fluid Appearance,23 | |
| Volume In (PD),34 | |
| Dwell Time (Peritoneal Dialysis),13 | |
| Solution (Peritoneal Dialysis),24 | |
| Peritoneal Dialysis Catheter Status,20 | |
| Volume Out (PD),30 | |
| CRRT mode,56 | |
| Indwelling Port (PortaCath) Dressing Occlusive,498 | |
| Indwelling (PortaCath) Port Type,431 | |
| Indwelling Port (PortaCath) placed in outside facility,382 | |
| Indwelling Port (PortaCath) Site Appear,507 | |
| Orthostatic BPs standing,93 | |
| Orthostatic HR lying,97 | |
| Orthostatic BPs lying,101 | |
| Orthostatic BPd standing,91 | |
| Orthostatic HR standing,91 | |
| Orthostatic BPd lying,100 | |
| Orthostatic BPd sitting,108 | |
| Orthostatic HR sitting,104 | |
| Orthostatic BPs sitting,109 | |
| Pericardial Drain Aspiration,204 | |
| Pulsus Paradoxus,110 | |
| Pericardial Drain Flush,199 | |
| Seizure Duration,159 | |
| Ectopy Frequency 2,1069 | |
| PO2 (Mixed Venous),83 | |
| Incision Dressing #3,222 | |
| Dressing Status #3,228 | |
| Incision Site #3,248 | |
| Incision Drainage #3,320 | |
| Incision Appearance #3,387 | |
| Incision Closure #3,370 | |
| 14 Gauge placed in outside facility,459 | |
| 14 Gauge placed in the field,276 | |
| 14 Gauge Dressing Occlusive,457 | |
| 14 Gauge Site Appear,326 | |
| Incision Cleansing #1,1358 | |
| Traction/Immobile Location #1,212 | |
| Pin Care,1 | |
| QTc,88 | |
| Passey Muir Valve in use,70 | |
| Trach Tube Manufacturer,341 | |
| Trach Tube Type,346 | |
| Trach Tube Size (I.D.),341 | |
| Trach Care,137 | |
| Elimination NCP - Plan revised,94 | |
| Elimination NCP - Interventions,229 | |
| Elimination NCP - Expected outcomes,304 | |
| Elimination NCP - Problem resolved,193 | |
| Incision Packing #2,121 | |
| Incision Packing #1,325 | |
| Pressure Ulcer Stage #5,80 | |
| Surrounding Tissue #5,196 | |
| Pressure Ulcer Stage #4,99 | |
| PICC Line Tip Cultured,14 | |
| PICC Line Discontinued,8 | |
| IO Wristband in place,82 | |
| Recruitment Press,2 | |
| Recruitment Duration,2 | |
| Recruitment Mode,2 | |
| Bladder Pressure,64 | |
| P Low (APRV),15 | |
| T High (APRV),15 | |
| P High (APRV),16 | |
| T Low (APRV),16 | |
| Cardiac Index (CI NICOM),12 | |
| Passive Leg Raise Performed,8 | |
| Stroke Volume Index (SVI NICOM),10 | |
| SVI Change,6 | |
| CO / CI Change,6 | |
| Total Peripheral Resistance Index (TPRI) (NICOM),4 | |
| Transpulmonary Pressure (Exp. Hold),20 | |
| Transpulmonary Pressure (Insp. Hold),19 | |
| Ammonia,43 | |
| Nutrition NCP - Expected outcomes,255 | |
| Nutrition NCP - Body needs,235 | |
| Nutrition NCP - Interventions,229 | |
| 24 Gauge Dressing Occlusive,12 | |
| 24 Gauge placed in outside facility,18 | |
| Nutrition NCP - Problem resolved,208 | |
| Nutrition NCP - Plan revised,91 | |
| 24 Gauge placed in the field,18 | |
| Pinsp (Draeger only),69 | |
| AVA Line placed in outside facility,50 | |
| AVA Line Site Appear,54 | |
| AVA Dressing Occlusive,51 | |
| Impaired Skin Wound Base #5,182 | |
| Surrounding Tissue #6,60 | |
| Impaired Skin Wound Base #6,69 | |
| 14 G Infiltration Scale,157 | |
| 14 Gauge Reason Discontinued,26 | |
| 14 G Phlebitis Scale,159 | |
| BiPap bpm (S/T -Back up),18 | |
| Nutrition,104 | |
| Systems reviewed,17 | |
| Exam-GI/GU,25 | |
| Exam-GU,15 | |
| Exam-Ext/MSK,28 | |
| Glucose Control - Prophy,93 | |
| Discussed on Rounds,29 | |
| Exam-Skin,18 | |
| DVT Prophy,111 | |
| GI Prophy,57 | |
| MDnoteConsent,13 | |
| Exam-Neuro,25 | |
| Impaired Skin Length #4,229 | |
| Undermining Present #4,113 | |
| Impaired Skin Width #4,201 | |
| Tunneling Present #4,118 | |
| Impaired Skin Width #5,66 | |
| Impaired Skin - Dressing Status #5,63 | |
| Tunneling Present #5,44 | |
| Undermining Present #5,42 | |
| Impaired Skin Length #5,66 | |
| MDI #3 Drug,3 | |
| Incision Drainage Amount #3,199 | |
| Incision Cleansing #3,45 | |
| Infection NCP - outcomes met,16 | |
| Infection NCP - Goal,27 | |
| Vancomycin (Trough),66 | |
| Pain control old,35 | |
| Progress,47 | |
| Lines/Tubes,78 | |
| Pain Controlled,50 | |
| Multi Lumen - Obturator in place,9 | |
| Vented,8 | |
| VAP - Prophy,4 | |
| Peritoneal Dialysis Catheter Type,27 | |
| Abdominal Changes: Observation,384 | |
| Muscle Aches,383 | |
| Nausea and Vomiting (CINA),389 | |
| Goose Flesh,386 | |
| Restlessness,379 | |
| Changes in Temperature,385 | |
| Pupils,383 | |
| Nasal Congestion,384 | |
| Sweating,385 | |
| Lacrimation,386 | |
| Yawning,381 | |
| Tremor (CINA),384 | |
| Seizure Pads,421 | |
| GI #2 Tube Place Check,44 | |
| CP-Pain Management,5 | |
| CP-Pain Assessment Method-Post,3 | |
| CP-Pain Assessment Method,6 | |
| CVL Biopatch,28 | |
| Pminimum,332 | |
| Pinsp (Hamilton),329 | |
| Compliance,321 | |
| Incision #3- Dressing Status,146 | |
| RCexp (Measured Time Constant),326 | |
| Incision #3- Treatment,154 | |
| Resistance Exp,321 | |
| Incision #3- Location,193 | |
| Family Meeting,154 | |
| Impaired Tissue Perfusion NCP - Goal,92 | |
| Impaired Tissue Perfusion NCP - Outcomes met,51 | |
| Impaired Skin #3- Dressing Status,182 | |
| Impaired Skin #5- Type,118 | |
| Impaired Skin #5- Location,119 | |
| Impaired Skin #5- Treatment,63 | |
| Gentamicin (Random),8 | |
| SBT Stopped,13 | |
| Altered Respiratory Status NCP - Goal,78 | |
| Thrombin,9 | |
| Midline Dressing Occlusive,105 | |
| Midline Site Appear,142 | |
| Daily Activity (AM-PAC),16 | |
| Resistance Insp,318 | |
| ICP Line placed in outside facility,114 | |
| ICP Line Dressing Occlusive,111 | |
| ICP Line Waveform Appear,90 | |
| ICP Line Site Appear,112 | |
| ICP Line Zero/Calibrate,45 | |
| ICP Line Tip Cultured,5 | |
| PCWP,15 | |
| Discharge from ICU,41 | |
| Sedation goal,21 | |
| Pain Control,36 | |
| Mobilization Plan,18 | |
| Airway Type,66 | |
| Activated Clotting Time,131 | |
| Critically ill,29 | |
| Timespent,15 | |
| Disposition,16 | |
| See eMAR for meds,6 | |
| ROS-HEENT,1 | |
| ROS-Extremeties / MSK,3 | |
| PICC Biopatch,2 | |
| Nitric Oxide,28 | |
| Nitric Oxide Tank Pressure,23 | |
| Safety Restraints NCP - Outcomes met,7 | |
| Self harm NCP - Outcomes met,6 | |
| Safety Restraints NCP - Goal,20 | |
| RIC Dressing Occlusive,2 | |
| RIC Infiltration Scale,2 | |
| RIC Phlebitis Scale,2 | |
| RIC Site Appear,1 | |
| RIC placed in outside facility,2 | |
| CAM-ICU RASS LOC,52 | |
| Knee Location - CPM,20 | |
| Continuous Pressure Machine Status,22 | |
| Neuro Mon Line Type,76 | |
| Total Granulocyte Count (TGC),14 | |
| PeCO2,17 | |
| FK506,10 | |
| Cuff Volume/units,23 | |
| Forehead SpO2 Sensor in Place,3 | |
| IABP Placement Confirmed by X-ray,129 | |
| Cardiac Assist Cannula Site Appear,1 | |
| Cardiac Assist Cannula Position,1 | |
| UF Heparin (Anti-Xa),3 | |
| Emergency Equipment at bedside (ECMO),11 | |
| Circuit inspected for clot (ECMO),11 | |
| P1 - P2 (ECMO),4 | |
| Cannula sites visually inspected (ECMO),12 | |
| Speed (ECMO),14 | |
| Sweep (ECMO),11 | |
| Flow (ECMO),14 | |
| Flow Sensor repositioned (ECMO),11 | |
| P1 (ECMO),4 | |
| Flow Alarm (Lo) (ECMO),11 | |
| P2 (ECMO),4 | |
| Oxygenator visible (ECMO),12 | |
| Suction events (ECMO),12 | |
| Flow Alarm (Hi) (ECMO),11 | |
| Pump plugged into RED outlet (ECMO),11 | |
| FiO2 (ECMO),13 | |
| Circuit Configuration (ECMO),15 | |
| Fundus Character,148 | |
| Fundus Location (Breadth),117 | |
| Breast Feeding,114 | |
| Dialysis Catheter Placement Confirmed by X-ray,172 | |
| Pressure ulcer #2- Drainage amount,56 | |
| Pressure ulcer #2- Cleanse,42 | |
| Pressure ulcer #2- Drainage,79 | |
| Pressure Ulcer #2- Location,168 | |
| Pressure ulcer #2- Tunneling present,71 | |
| Pressure ulcer #2- Surrounding tissue,139 | |
| Pressure ulcer #2- Dressing status,81 | |
| Pressure Ulcer #2- Type,158 | |
| Pressure ulcer #2- Wound Base,101 | |
| Pressure Ulcer #2- Treatment,113 | |
| GI pH,31 | |
| Reason for Restraint (Acute Medical/Surgical)_V1,105 | |
| Less Restrictive Measures (Acute Med/Surgical),115 | |
| Low risk (25-50) interventions,119 | |
| Status and Comfort (Behavioral),60 | |
| Side Rails_V1,289 | |
| Patient/Family Informed_V1,63 | |
| Restraint Type,102 | |
| Reason for Restraint (Behavioral)_V1,32 | |
| Restraints Evaluated_V1,102 | |
| Restraint Location_V1,217 | |
| Restraints Ordered,84 | |
| Peak Exp Flow Rate,67 | |
| Ostomy Care,6 | |
| Impaired Skin Length #6,27 | |
| Impaired Skin Width #6,18 | |
| GI #2 Tube Drainage,25 | |
| Ostomy,237 | |
| Ostomy Appearance,148 | |
| Skeletal Traction #1 - Pounds,31 | |
| Pressure Ulcer Stage #6,23 | |
| Pressure ulcer #2- Length,110 | |
| Pressure ulcer #2- Undermining present,65 | |
| Pressure ulcer #2- Odor,55 | |
| Pressure Ulcer #2- Depth,48 | |
| Pressure ulcer #2- Stage,155 | |
| Pressure Ulcer #2- Width,110 | |
| Pressure ulcer #4- Undermining present,21 | |
| Pressure Ulcer #4- Width,21 | |
| Pressure ulcer #4- Wound Base,26 | |
| Pressure ulcer #4- Stage,32 | |
| Pressure Ulcer #4- Treatment,18 | |
| Pressure ulcer #4- Tunneling present,21 | |
| Pressure Ulcer #4- Location,32 | |
| Pressure ulcer #4- Surrounding tissue,29 | |
| Pressure Ulcer #4- Type,32 | |
| Pressure ulcer #4- Length,21 | |
| Pressure ulcer #3- Wound Base,46 | |
| Pressure Ulcer #3- Type,75 | |
| Pressure Ulcer #3- Location,78 | |
| Pressure ulcer #3- Undermining present,34 | |
| Pressure Ulcer #3- Treatment,47 | |
| Pressure Ulcer #3- Width,57 | |
| Pressure ulcer #3- Surrounding tissue,70 | |
| Pressure ulcer #3- Tunneling present,37 | |
| Pressure ulcer #3- Stage,68 | |
| Pressure ulcer #3- Length,57 | |
| Pressure ulcer #3- Drainage,34 | |
| Pressure ulcer #3- Dressing status,35 | |
| Pressure ulcer #4- Dressing status,11 | |
| Pressure ulcer #4- Drainage,14 | |
| CCO PAC placed in outside facility,222 | |
| CCO PAC Site Appear,257 | |
| CCO PAC Zero/Calibrate,117 | |
| CCO PAC Waveform Appear,257 | |
| CCO PAC Placement Confirmed by X-ray,179 | |
| CCO PAC Dressing Occlusive,255 | |
| CCO PAC Line Tip Cultured,11 | |
| Bladder Irrigation,133 | |
| CT #4 Suction Amount,9 | |
| CT #4 Leak,6 | |
| CT #4 Dressing,6 | |
| Chest Tube Site #4,35 | |
| CT #4 Drainage,6 | |
| CT #4 Suction Type,9 | |
| Pressure ulcer #3- Odor,18 | |
| MDI #2 Drug,133 | |
| MDI #2 Puff,106 | |
| Arm Immobilizer,31 | |
| Presep Catheter Dressing Occlusive,21 | |
| Presep Catheter Zero/Calibrate,32 | |
| Presep Catheter Site Appear,67 | |
| Presep Catheter placed in outside facility,63 | |
| Presep Catheter Placement Confirmed by X-ray,36 | |
| Presep Catheter Waveform Appear,48 | |
| EKOS site,12 | |
| EKOS Line Site Appear,12 | |
| EKOS US,7 | |
| Sheath Line Tip Cultured,20 | |
| 24 G Phlebitis Scale,20 | |
| 24 G Infiltration Scale,20 | |
| Small Volume Neb Drug #2,71 | |
| Post-op Care NCP - Goal,40 | |
| Post-op Care NCP - Outcomes met,17 | |
| Impaired Skin #6- Location,31 | |
| Impaired Skin #6- Type,35 | |
| Impaired Skin Length #7,35 | |
| Impaired Skin #7- Location,19 | |
| Impaired Skin Drainage Amount #7,19 | |
| Impaired Skin Wound Base #7,45 | |
| Impaired Skin #7- Type,17 | |
| Impaired Skin Drainage #7,33 | |
| Impaired Skin #7- Cleanse,1 | |
| Impaired Skin Odor #7,35 | |
| Impaired Skin Wound Base #8,20 | |
| Impaired Skin #8- Type,10 | |
| Impaired Skin #8- Location,10 | |
| Impaired Skin #7- Treatment,6 | |
| Impaired Skin #8- Treatment,3 | |
| Surrounding Tissue #7,39 | |
| Impaired Skin #8- Dressing Status,2 | |
| ICP Line Discontinued,6 | |
| Altered Respiratory Status NCP - outcomes met,47 | |
| Domestic Violence NCP - Plan revised,11 | |
| Domestic Violence NCP - Interventions,10 | |
| Domestic Violence NCP - Problem resolved,13 | |
| Domestic Violence NCP - Expected outcomes,27 | |
| Patient agrees with the above goals and is willing to participate in the rehabilitation program,4 | |
| Trauma Line Placement Confirmed by X-ray,87 | |
| Neuro Drain Landmark,33 | |
| AVA Line Placement Confirmed by X-ray,36 | |
| AVA Waveform Appearance,31 | |
| Intra Aortic Ballon Pump Setting,41 | |
| AVA Line Zero/Calibrate,14 | |
| CCO PAC Discontinued,25 | |
| Pressure ulcer #3- Cleanse,20 | |
| Impaired Skin #6- Treatment,11 | |
| Impaired Skin #6- Dressing Status,6 | |
| Grooming,16 | |
| Home Management,8 | |
| LE Bathing,10 | |
| Self Feeding,11 | |
| Money Management,6 | |
| LE Dressing,16 | |
| Anticipated Discharge,16 | |
| UE Bathing,11 | |
| UE Dressing,15 | |
| Community Integration,8 | |
| Clot Size (cm),6 | |
| Return Pressure,122 | |
| Effluent Pressure,122 | |
| Hourly Patient Fluid Removal,113 | |
| Replacement Fluid,114 | |
| Post Filter Replacement Rate,93 | |
| PBP (Prefilter) Replacement Rate,106 | |
| Citrate (ACD-A),89 | |
| Dialysate Rate,110 | |
| Blood Flow (ml/min),112 | |
| Filter Pressure,122 | |
| Current Goal,114 | |
| Access Pressure,122 | |
| Dialysate Fluid,114 | |
| Replacement Rate,109 | |
| System Integrity,115 | |
| Impaired Skin #5- Cleanse,17 | |
| Impaired Skin #5- Dressing Status,18 | |
| PCV Level,26 | |
| ScvO2 (Presep),45 | |
| SvO2 SQI,38 | |
| Estimated Energy Needs/Kg,4 | |
| Estimated Protein Needs/Kg,4 | |
| AVA Line Discontinued,1 | |
| AVA Line Tip Cultured,2 | |
| Shivering,79 | |
| Medication Infusion Rate - Adjunctive Pain Management,101 | |
| Impaired Skin Cleanse #7,41 | |
| Impaired Skin Width #7,25 | |
| Impaired Skin - Dressing Status #7,11 | |
| Impaired Skin Treatment #7,48 | |
| Impaired Skin Type #7,65 | |
| Impaired Skin Site #7,66 | |
| Impaired Skin Drainage #8,16 | |
| Impaired Skin Length #8,14 | |
| Impaired Skin Cleanse #8,17 | |
| Surrounding Tissue #8,16 | |
| Impaired Skin Site #8,32 | |
| Impaired Skin Treatment #8,22 | |
| Impaired Skin Type #8,31 | |
| Impaired Skin Width #8,12 | |
| ICU Consent,18 | |
| Rest O2 Sat - Aerobic Capacity,6 | |
| Recovery O2 Sat - Aerobic Capacity,7 | |
| Rest HR - Aerobic Capacity,7 | |
| Recovery RR - Aerobic Capacity,5 | |
| Supine / Side-lying to Sit,7 | |
| Rolling,7 | |
| Sit to Stand,7 | |
| Rest RR - Aerobic Capacity,4 | |
| Activity O2 Sat - Aerobic Capacity,6 | |
| Recovery HR - Aerobic Capacity,7 | |
| Activity HR - Aerobic Capacity,7 | |
| Activity RR - Aerobic Capacity,5 | |
| Transfer,6 | |
| Breast Feed - L (Minutes),26 | |
| Breast Feeding - L,41 | |
| Breast Feed - R (Minutes),26 | |
| Breast Feeding - R,42 | |
| ATC Tube #,10 | |
| ATC %,10 | |
| Dual Signal Screen,37 | |
| Placement Monitoring Screen,41 | |
| Impella Catheter Position,11 | |
| Impella Line Site Appear,11 | |
| Impella Position,10 | |
| Impella Dressing Occlusive,7 | |
| Impella Catheter Site,12 | |
| Impella Postion Confirmed,8 | |
| Impella Line Discontinued,1 | |
| Flow Rate (Impella),43 | |
| Purge Solution Flow Rate,35 | |
| Aortic Pressure Signal - Systolic,39 | |
| Aortic Pressure Signal - Diastolic,39 | |
| Performance Level,47 | |
| Purge Pressure,39 | |
| Impella Catheter Repositioned,6 | |
| Impella Placement Confirmed,7 | |
| Creatinine (whole blood),27 | |
| % Minute Volume,28 | |
| Trauma Line Discontinued,5 | |
| Coping/Knowledge Deficit NCP - outcomes met,5 | |
| Coping/Knowledge Deficit NCP - Goal,14 | |
| SV (Arterial),41 | |
| CO (Arterial),63 | |
| Temporary AV interval,2 | |
| Bone/Joint Aches (COWS),18 | |
| Pupil Size (COWS),18 | |
| Anxiety/Irritability (COWS),18 | |
| Runny Nose/Tearing (COWS),18 | |
| Tremor (COWS),18 | |
| Restlessness (COWS),18 | |
| Yawning (COWS),18 | |
| Resting Pulse Rate (COWS),18 | |
| Sweating (COWS),18 | |
| GI Upset (COWS),18 | |
| Gooseflesh Skin (COWS),18 | |
| Incision #3- Cleanse,12 | |
| EtCO2 Clinical indication,7 | |
| EKOS Position,8 | |
| Cardiac Output (CO NICOM),4 | |
| Stroke Volume (SV NICOM),4 | |
| Stroke Volume Variation (SVV NICOM),6 | |
| Rounds included,13 | |
| Enema administration,3 | |
| Leg Raise Result (NICOM),7 | |
| Dialysis Catheter Discontinued,4 | |
| In-line Suction Catheter Changed,11 | |
| Phenytoin (Free),2 | |
| Impaired Skin Depth #4,50 | |
| Patient Behavior During Application,53 | |
| Less Restrictive Measures (Behavioral),56 | |
| Indwelling (PortaCath) Port #1,61 | |
| Impaired Skin Depth #5,23 | |
| Trans Membrane Pressure,80 | |
| Pressure Drop,80 | |
| Heparin Dose (per hour),49 | |
| Circuit Changed,7 | |
| Midline Tip Cultured,3 | |
| Midline Discontinued,4 | |
| Pressure Ulcer Stage #7,19 | |
| Impaired Skin - Dressing Status #6,18 | |
| Undermining Present #6,14 | |
| Tunneling Present #6,20 | |
| Indwelling Port (PortaCath) Discontinued,4 | |
| Pressure ulcer #5- Stage,1 | |
| Pressure Ulcer #6- Location,1 | |
| Pressure ulcer #6- Length,1 | |
| Pressure Ulcer #6- Depth,1 | |
| Pressure ulcer #7- Tunneling present,1 | |
| Pressure ulcer #6- Tunneling present,1 | |
| Pressure ulcer #5- Undermining present,1 | |
| Pressure ulcer #5- Drainage,1 | |
| Pressure Ulcer #7- Type,1 | |
| Pressure ulcer #6- Surrounding tissue,1 | |
| Pressure ulcer #7- Surrounding tissue,1 | |
| Pressure Ulcer #5- Width,1 | |
| Pressure ulcer #5- Tunneling present,1 | |
| Pressure ulcer #5- Surrounding tissue,1 | |
| Pressure Ulcer #5- Location,1 | |
| Pressure ulcer #6- Drainage,1 | |
| Pressure ulcer #6- Stage,1 | |
| Pressure ulcer #5- Length,1 | |
| Pressure ulcer #5- Wound Base,1 | |
| Pressure Ulcer #5- Depth,1 | |
| Pressure Ulcer #7- Location,1 | |
| Pressure Ulcer #6- Width,1 | |
| Pressure ulcer #7- Drainage,1 | |
| Pressure ulcer #7- Stage,1 | |
| Pressure Ulcer #7- Width,1 | |
| Pressure Ulcer #5- Treatment,1 | |
| Pressure Ulcer #7- Treatment,1 | |
| Pressure ulcer #7- Length,1 | |
| Pressure Ulcer #5- Type,1 | |
| Pressure Ulcer #6- Treatment,1 | |
| Pressure Ulcer #6- Type,1 | |
| Pressure ulcer #7- Wound Base,1 | |
| Small Volume Neb Drug #1,17 | |
| Airway problems,21 | |
| Altered Skin Integrity NCP - Goal,6 | |
| Altered Skin Integrity NCP - outcomes met,8 | |
| Pressure ulcer #3- Drainage amount,22 | |
| Patient on Veletri,6 | |
| Airway Size (mm),5 | |
| Discharge NCP - Outcomes met,3 | |
| Discharge NCP - Goal,2 | |
| Tunneled (Hickman) Placement Confirmed by X-ray,18 | |
| Tunneled (Hickman) Site Appear,41 | |
| Tunneled (Hickman) placed in outside facility,43 | |
| Tunneled (Hickman) Dressing Occlusive,41 | |
| Recovery HR - Aerobic Activity Response,7 | |
| Position - Rest - Aerobic Activity Response,8 | |
| Rest RR - Aerobic Activity Response,6 | |
| Rest O2 Sat - Aerobic Activity Response,7 | |
| Rest HR - Aerobic Activity Response,8 | |
| ROS-Respiratory,2 | |
| GI #3 Tube Type,8 | |
| GI #3 Intub Site,9 | |
| GI #3 Tube Place Check,8 | |
| GI #3 Tube Mark (CM),5 | |
| GI #3 Tube Drainage,9 | |
| GI #3 Tube Status,8 | |
| Incision #4- Location,32 | |
| Incision #4- Dressing Status,21 | |
| Incision Closure #4,52 | |
| Incision #4- Treatment,22 | |
| Incision Appearance #4,52 | |
| Incision #4- Cleanse,7 | |
| Incision Drainage #4,39 | |
| Incision Drainage Amount #4,18 | |
| Time spent,6 | |
| Indwelling Port (PortaCath) Power Port,5 | |
| CT #4 Fluctuate,5 | |
| CT #4 Crepitus,5 | |
| Pheresis Catheter Discontinued,1 | |
| Medication Added #1 (Peritoneal Dialysis),10 | |
| Undermining Present #7,11 | |
| Tunneling Present #7,11 | |
| Surrounding Tissue #9,14 | |
| Impaired Skin Odor #9,8 | |
| Impaired Skin Type #10,6 | |
| Impaired Skin Wound Base #9,8 | |
| Impaired Skin Drainage #10,6 | |
| Undermining Present #9,8 | |
| Impaired Skin Drainage #9,14 | |
| Tunneling Present #10,6 | |
| Impaired Skin Odor #10,6 | |
| Undermining Present #8,13 | |
| Impaired Skin Depth #8,6 | |
| Impaired Skin Odor #8,15 | |
| Impaired Skin Width #9,8 | |
| Pressure Ulcer Stage #8,10 | |
| Surrounding Tissue #10,6 | |
| Impaired Skin Length #9,10 | |
| Undermining Present #10,6 | |
| Impaired Skin Depth #6,14 | |
| Tunneling Present #8,13 | |
| Impaired Skin Site #10,7 | |
| Impaired Skin Length #10,6 | |
| Impaired Skin Type #9,14 | |
| Impaired Skin Depth #10,6 | |
| Tunneling Present #9,8 | |
| Impaired Skin Depth #9,8 | |
| Impaired Skin Site #9,15 | |
| Impaired Skin Wound Base #10,6 | |
| Pressure Ulcer Stage #9,8 | |
| Impaired Skin Width #10,6 | |
| Pressure Ulcer Stage #10,6 | |
| Impaired Skin Depth #7,11 | |
| Impaired Skin Cleanse #10,5 | |
| Impaired Skin Treatment #10,4 | |
| SVV (Arterial),44 | |
| Unable to obtain,6 | |
| Site Appearance - Adjunctive Pain Management,54 | |
| Pressure Injury Location,5 | |
| GI #2 Tube Place Method,20 | |
| Incision Site #4,25 | |
| Incision Dressing #4,25 | |
| Dressing Status #4,25 | |
| Presep Catheter Discontinued,3 | |
| Medication Bolus - Adjunctive Pain Management,7 | |
| Traction/Immobile Location #2,1 | |
| Impaired Skin #6- Cleanse,1 | |
| GCSEyeApacheIIValue,1 | |
| HrApacheIIScore,1 | |
| OxygenApacheIIScore,1 | |
| HCO3ApacheIIValue,1 | |
| SodiumApacheIIValue,1 | |
| TempApacheIIValue,1 | |
| APACHE II,1 | |
| RRApacheIIValue,1 | |
| AgeApacheIIScore,1 | |
| PhApacheIIScore,1 | |
| APACHEII-Renal failure,1 | |
| GCSVerbalApacheIIValue,1 | |
| TempApacheIIScore,1 | |
| MapApacheIIValue,1 | |
| PotassiumApacheIIScore,1 | |
| CreatinineApacheIIValue,1 | |
| ChpApacheIIScore,1 | |
| HematocritApacheIIScore,1 | |
| DswfApacheScore,1 | |
| APACHE II PDR - Adjusted,1 | |
| PotassiumApacheIIValue,1 | |
| WbcApacheIIScore,1 | |
| SodiumApacheIIScore,1 | |
| MapApacheIIScore,1 | |
| GCSMotorApacheIIValue,1 | |
| HematocritApacheIIValue,1 | |
| GcsApacheIIScore,1 | |
| RrApacheIIScore,1 | |
| APACHE II Predecited Death Rate,1 | |
| CreatinineApacheIIScore,1 | |
| HCO3Score,1 | |
| HrApacheIIValue,1 | |
| AgeApacheIIValue,1 | |
| WBCApacheIIValue,1 | |
| Airway Location,4 | |
| Heliox,15 | |
| Nutrition NCP - outcomes met,2 | |
| Nutrition NCP - Goal,4 | |
| Reason for Restraint/Seclusion (Violent),40 | |
| Violent Restraints,63 | |
| Violent Restraints Ordered,38 | |
| Indwelling (PortaCath) Port #2,14 | |
| AT (Antithrombin funct),4 | |
| Pressure ulcer #4- Drainage amount,12 | |
| Pressure ulcer #4- Cleanse,8 | |
| Pressure Ulcer #4- Depth,6 | |
| Pressure ulcer #4- Odor,11 | |
| Motor Current (mA) Low,13 | |
| Type of Catheter (Impella),12 | |
| Motor Current (mA) High,13 | |
| Impella Line Type,3 | |
| Trauma Line Tip Cultured,2 | |
| MDI #3 Puff,2 | |
| Triple Introducer Waveform Appear,7 | |
| Triple Introducer Zero/Calibrate,5 | |
| Triple Introducer Dressing Occlusive,7 | |
| Triple Introducer Site Appear,7 | |
| Triple Introducer placed in outside facility,7 | |
| Triple Introducer Placement Confirmed by X-ray,7 | |
| Triple Introducer Line Tip Cultured,2 | |
| Toileting,11 | |
| Other (Activity); Specify,2 | |
| Pain (0-10),5 | |
| Recovery O2 sat - Aerobic Activity Response,5 | |
| Activity O2 sat - Aerobic Activity Response,6 | |
| Activity RR - Aerobic Activity Response,5 | |
| Position - Activity - Aerobic Activity Response,6 | |
| Activity HR - Aerobic Activity Response,6 | |
| Recovery RR - Aerobic Activity Response,4 | |
| Position - Recovery - Aerobic Activity Response,7 | |
| Gentamicin (Trough),2 | |
| Gentamicin (Peak),2 | |
| Alsius Bath Temp,3 | |
| ROS-Neuro,1 | |
| Reflexes LE,3 | |
| Reflexes UE,3 | |
| ROS-Cardiac,2 | |
| ROS-General,2 | |
| StO2,1 | |
| Tandem Heart Return Cannula Position,1 | |
| Tandem Heart Return Cannula Dressing Occlusive,1 | |
| Tandem Heart Return Cannula Site,2 | |
| Tandem Heart Access Line Pump Housing Checked,1 | |
| Tandem Heart Access Line Position,1 | |
| Tandem Heart Access Line Dressing Occlusive,1 | |
| Tandem Heart Access Line Site Appear,1 | |
| Tandem Heart Return Cannula Site Appear,1 | |
| Reason for Trigger (RN),1 | |
| Impaired Skin #10- Type,2 | |
| Impaired Skin #10- Location,2 | |
| Impaired Skin #9- Type,3 | |
| Impaired Skin #9- Location,2 | |
| Head of Bed Measurement,4 | |
| Dialysis/Pheresis Biopatch,2 | |
| Presep Catheter Line Tip Cultured,3 | |
| GEDI (PiCCO),5 | |
| ELWI (PiCCO),4 | |
| CI (PiCCO),7 | |
| SVRI (PiCCO),5 | |
| CFI (PiCCO),5 | |
| Calibrated (PiCCO),2 | |
| SVI (PiCCO),7 | |
| SVV (PiCCO),7 | |
| CO (PiCCO),6 | |
| Surgibra,6 | |
| Heparin Concentration (units/mL),4 | |
| Total Peripheral Resistance (TPR) (NICOM),1 | |
| TFCd (NICOM),1 | |
| TFCd0 (NICOM),1 | |
| Patient on vent,1 | |
| Tandem Heart Access Line Cannula Site,1 | |
| Medication Added Amount #1 (Peritoneal Dialysis),2 | |
| Incision Closure #5,3 | |
| Incision Drainage #5,1 | |
| Incision #5- Location,3 | |
| Incision #5- Treatment,2 | |
| Incision Appearance #5,3 | |
| Incision Drainage Amount #5,1 | |
| Incision #5- Dressing Status,3 | |
| GI #2 Tube Mark (CM),1 | |
| Weight Bearing Status,1 | |
| Impaired Skin Drainage Amount #8,7 | |
| Impaired Skin Treatment #9,6 | |
| Impaired Skin Drainage Amount #9,6 | |
| Impaired Skin - Dressing Status #9,6 | |
| Impaired Skin Cleanse #9,6 | |