MIMIC Implementation Guide
1.3.0 - Draft

MIMIC Implementation Guide - Local Development build (v1.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

CodeSystem: MimicCharteventsDItems

Official URL: http://mimic.mit.edu/fhir/mimic/CodeSystem/mimic-chartevents-d-items Version: 1.3.0
Draft as of 2022-09-21 Computable Name: MimicCharteventsDItems

The chartevents item codes used in the ICU for MIMIC

This Code system is referenced in the content logical definition of the following value sets:

This code system http://mimic.mit.edu/fhir/mimic/CodeSystem/mimic-chartevents-d-items defines the following codes:

CodeDisplay
227969 Safety Measures
224723 Accessory Muscle Use
228777 Pressure ulcer #5- Odor
224847 Impaired Skin Drainage Amount #1
224504 With ultrasound (THCEN)
228409 Strength L Arm
229334 Activity Intolerance NCP - Problem resolved
226846 Feeding Weight
225099 Judgement
229314 Ventilator Mode (Hamilton)
228019 Insertion kit used (A-Line)
227037 PH_ApacheIV
226758 GCSVerbalApacheIIValue
225503 Hand cleansing prior to procedure (PACEN)
228535 Impaired Skin #7- Treatment
224705 P High (APRV)
226066 ZTobramycin (Trough)
224436 CT #3 Suction Amount
226983 Apache IV A-aDO2
230039 Nasal flaring.
226480 Ectopy Frequency 2
229275 Pump plugged into RED outlet (ECMO)
229251 Cannula sites visually inspected (RVAD)
223973 Angio Dressing # 2
229874 Flow Sensor repositioned (CH)
223867 Additional Settings
227567 Airway Location
226764 HrApacheIIValue
224024 Family Communication
229772 Runny Nose/Tearing (COWS)
229028 Incision #7- Treatment
226122 Pheresis Catheter placed in outside facility
224056 Braden Activity
225301 RSI (Intubation)
224940 Impaired Skin Treatment #5
229190 Specrectolabby (LP)
229322 Breathing pattern/effort
228726 Pressure ulcer #4- Length
225672 Lipase
228780 Pressure ulcer #8- Odor
229864 Pressure Injury Location
224715 SBT Started
225094 History of slips / falls
230062 PNC-2 Motor Deficit
228616 Pressure Ulcer #7- Depth
229140 Substance withdrawal NCP - Plan revised
227454 Vancomycin (Random)
228753 Pressure ulcer #1- Drainage
224767 RUE Temp
228733 Pressure ulcer #1- Wound Base
228526 Impaired Skin #9- Cleanse
228564 Incision #6- Location
224837 Temporary Ventricular Sens Setting mV
223904 Gag Reflex
225625 Calcium non-ionized
228769 Pressure ulcer #7- Drainage amount
227459 Procan Napa
229594 Exam-GI/GU
224090 Knee Immobilizer Status
225585 ETT Depth (Intubation)
229241 P1 Alarm - Low
223940 Femoral Pulse R
228873 HM II- Flow
228121 PA line ordered on POE
225788 Triple Introducer Dressing Type
223838 ETT Location
225624 BUN
228555 Pressure Ulcer #7- Type
228544 Pressure Ulcer #6- Treatment
228443 BIS - SQI
225284 PICC Ordered on POE
229868 Risk Factors for Pressure Injury
227949 Face to Face Eval (Non-violent)
224895 Impaired Skin Depth #2
224427 CT #2 Suction Amount
226772 PotassiumApacheIIValue
228818 Pressure ulcer #6- Stage
229193 Specreclabeled (Gen Proc)
225067 Is the spokesperson the Health Care Proxy
224563 Impaired Skin Depth #1
226135 14 Gauge placed in outside facility
225499 Patient identified correctly by 2 means (PACEN)
228038 Immediate complications (CVL)
228611 Pressure Ulcer #2- Depth
228343 OCAT - Lips Tongue Gums Palate
225629 Guidewire (PA Line)
228187 Cannulas Visible
229824 HCT (VAD)
223934 Dorsal PedPulse R
227682 Restraints Evaluated_V2
224000 Nares R
226140 RIC placed in outside facility
224922 Impaired Skin Length #8
225103 Intravenous / IV access prior to admission
229373 UF Heparin (Anti-Xa)_U_1
228880 Education Existing Knowledge
225347 Midline Site Appear
229091 Altered Respiratory Status NCP - Problem resolved
220580 Ammonia
228021 Site cleaned with ChloraPrep(TM) (A-Line)
227944 Side Rails
227029 Non-Operative Metabolic/Endocrine (METAB/ENDO)
225245 Patient position (THCEN)
228242 Pt. Temperature (BG) (SOFT)
225175 See chart for initial patient assessment
229112 Self harm NCP - Plan revised
228084 Dressing applied and dated (PACEN)
227461 Phenytoin (Dilantin)
226756 GCSEyeApacheIIValue
228485 Complications (Gen Proc)
227358 PICC Line Dressing Occlusive
228604 Impaired Skin #5- Dressing Status
228062 Autofluorescence AF (Bronch)
228613 Pressure Ulcer #4- Depth
224476 Insertion site (PA line)
228151 Aortic Pressure Signal - Diastolic
220277 O2 saturation pulseoxymetry
227346 Mental status
228186 Access Site Observed (Tandem Heart)
223986 RUL Lung Sounds
225656 Freeform Chemistry
228545 Pressure Ulcer #7- Treatment
220561 ZINR
227457 Platelet Count
228567 Incision #3- Cleanse
228685 Admission type
225518 Services (Bronch)
224568 Barrier precautions in place (PICC)
224433 CT #4 Dressing
224351 Number of attempts required to place line (CVL)
228509 Pressure Ulcer #4- Location
225306 Number of Attempts (Intubation)
224624 Barrier precautions in place (PA line)
227773 Traction/Immobile #3
226871 Expiratory Ratio
227129 Pheresis Catheter Type
227955 Food and Fluid
224858 Patient Behavior During Application
227357 Dialysis Catheter Dressing Occlusive
228846 Pressure ulcer #4- Undermining present
228416 Corneal Reflex Right
227808 Heliox
226191 Barrier precautions in place (Intubation)
225302 Pre-Oxygentated (Intubation)
228085 The Attending/Supervisor is the Clinical Operator (PACEN)
225290 Present during key moments and agree with checklist (PICC)
224934 Impaired Skin Site #6
226996 APS
227926 Activity O2 sat - Aerobic Activity Response
228370 CO / CI Change
228113 Insertion kit used (PA line)
225599 Insertion kit used (LP)
229793 Estimated Blood Loss (LP)
229675 Performance Level (R)
228223 Tandem Heart Return Cannula Position
225988 IABP Position on leg
226062 Venous CO2 Pressure
228497 Impaired Skin #2- Location
230037 HR per min
226984 Apache IV Age
225183 Current Goal
229858 Therapeutic Bed
228398 Commands
228765 Pressure ulcer #3- Drainage amount
225527 Endobronchial ultrasound (EBUS) (Bronch)
224989 Undermining Present #5
225662 ZGentamicin (Peak)
224038 Impaired Skin Treatment #1
224690 Respiratory Rate (Total)
229473 24 Gauge placed in the field
225707 Central Line ordered on POE
220001 Problem List
225986 IABP Arterial Waveform Source
220765 Intra Cranial Pressure
224962 Impaired Skin Wound Base #6
224005 Flatus
224650 Ectopy Type 1
228687 Code Status.
225017 Incision Drainage #6
224479 Complications (PA line)
228212 Tandem Heart Access Line Pump Housing Checked
225492 Verification of (THCEN)
223806 Tremor (CIWA)
228300 CAM-ICU MS change
228094 The Attending/Supervisor is the Clinician Operator (THCEN)
225026 Incision Dressing #5
229681 Indwelling Urinary Catheter Care
229608 Ultrasound Images probe covered (CVL)
227807 In-line Suction Catheter Changed
228573 Incision #3- Treatment
226745 APACHE II Predecited Death Rate
223796 Untoward Effect
229826 Low Flow Alarm (VAD)
227963 Restraints Ordered (Violent)
225379 Indwelling Port (PortaCath) Site Appear
228082 Site cleaned with ChloraPrep (PACEN)
228686 Cardiovascular_OLD_1
225641 Differential-Lymphs
228053 Topical Cetacaine used (Bronch)
226747 APACHEII-Chronic health points
225985 IABP Helium Tubing
226439 Complications (PACEN)
224695 Peak Insp. Pressure
227019 HrScore_ApacheIV
227663 Immobilizer
227753 Dialysis Catheter Placement Confirmed by X-ray
228746 Pressure ulcer #4- Surrounding tissue
225719 Number of operators (A-Line)
224947 Impaired Skin Type #5
228030 Is alternative vascular access present (CVL)
228299 Goal Richmond-RAS Scale
227616 Impaired Skin Wound Base #9
223945 Femoral Pulse L
228498 Impaired Skin #3- Location
229498 Guidewire removed (SBNET)
229264 Suction events (LVAD)
228599 Incision #6- Dressing Status
224168 Parameters Checked
230076 Documented on DC Summary (Para)
227952 Position Change
225759 RIC Reason Discontinued
225389 Presep Catheter Zero/Calibrate
224010 GI #1 Tube Place Check
228393 Bath
223958 Temporary Venticular Sens Threshold mV
225631 Side (PA line)
229293 Pain Control
229853 Art Bubble On (CH)
228689 Discharge from ICU
227113 PCA 1 hour limit units
228372 Leg Raise Result (NICOM)
226114 PA Catheter placed in outside facility
224431 CT #4 Drainage
228015 22 G Phlebitis Scale
224455 PT Splint Location #4
229743 Trigger Initiated by
227476 Incision Site #5
226536 Chloride (whole blood)
228947 Infection NCP - Interventions
229697 CPOT-Body Movements (CPOTa)
228414 Speech
229128 Altered Sensory Perception NCP - Plan revised
227619 Pressure Ulcer Stage #10
229604 Therapeutic Bed
225958 Heparin Concentration (units/mL)
220734 PH (dipstick)
229505 Surgibra
228968 Nutrition NCP - outcomes met
225086 Unable to assess cognitive / perceptual
227951 Circulation/Skin Integrity
224965 Pressure Ulcer Stage #2
227352 CCO PAC Dressing Occlusive
225664 Glucose finger stick (range 70-100)
228293 IO Site Appearance
224442 GI #3 Intub Site
225725 Dialysis Catheter Tip Cultured
229034 Incision Appearance #8
228547 Pressure Ulcer #9- Treatment
228868 Assistance
228642 Barrier precautions in place (Bronch)
229900 Left Ventricular Pressure Signal - Diastolic
229321 Activity / Mobility (JH-HLM)
229267 Emergency Equipment at bedside (ECMO)
224727 Resting Energy Expenditure
226119 Trauma Line placed in outside facility
224425 CT #2 Dressing
224508 Location (PICC)
227962 Restraints (Violent)
228537 Impaired Skin #9- Treatment
228390 Sodium (whole blood) (soft)
223767 Intra Cranial Pressure Alarm - High
224918 Impaired Skin Length #4
229185 Specrectolabbyother (THCEN)_OLD_1
228790 Pressure ulcer #8- Cleanse
228617 Pressure Ulcer #8- Depth
227965 Restraint Device (Violent)
223874 Vti High
225581 Location (CVL)
227947 Reason for Restraint (Non-violent)
228229 PAR-Activity
225358 PA Catheter Zero/Calibrate
224979 Tunneling Present #2
224640 Service
229668 Pulmonary Artery Pressure Signal - Diastolic
228629 Pressure Ulcer #10- Width
228014 20 G Infiltration Scale
224699 ZAuto Peep Level
224084 Activity
224114 PT Splint Location #1
225106 ETOH
224633 Undermining Present #1
229097 Discharge NCP - Problem resolved
229545 EKOS Line Site Appear
229089 Altered Mental Status NCP - Problem resolved
225411 Patient on vent
224773 LLE Temp
224309 Assisted Systole
229364 P2 (ECMO)
229244 Humidifier Water Changed
224311 BAEDP
223762 Temperature Celsius
225355 PA Catheter Site Appear
224839 Temporary Pacemaker Wires Atrial
225727 IABP Line Tip Cultured
228529 Impaired Skin #1- Treatment
229369 Acuity Workload Question 1
226732 O2 Delivery Device(s)
230070 Documented in DC Summary (Aline)
228319 PC Assessment of spiritual issues
229766 Bone/Joint Aches (COWS)
228010 16 G Infiltration Scale
224584 Number of attempts required to place line (PICC)
228817 Pressure ulcer #5- Stage
228323 PC Ministries offered
226766 MapApacheIIValue
223911 Spontaneous Movement
224075 Education Readiness
230033 Stool Management
225082 Pregnant
226120 Triple Introducer placed in outside facility
229865 No Pressure Injury Present
229236 Cerebral Temperature (C)
229787 Rigid Stylette (Intubation)
225552 Insertion site (A-Line)
229046 Incision Drainage #8
224973 Surrounding Tissue #3
224702 PCV Level
229673 Motor Current (mA) High (R)
228734 Pressure ulcer #2- Wound Base
225580 Is alternative vascular access present (CVL)
225642 Differential-Monos
225744 Multi Lumen Line Discontinued
220612 ZC Reactive Protein (CRP)
224980 Tunneling Present #3
224389 Heart Sounds
228239 Phenytoin (Free) (SOFT)
228848 Pressure ulcer #6- Undermining present
228236 Insulin pump
228174 Impella Line Site Appear
220560 ZProthrombin time
228233 PAR-Remain sedated
225047 Incision Packing #6
223987 RLL Lung Sounds
224754 Temporary Atrial Stim Threshold mA
227989 Intra Cranial Pressure #2
224906 Impaired Skin Drainage #6
228376 Stroke Volume Variation (SVV NICOM)
228415 Corneal Reflex Left
229559 Cardiac Assist Cannula Site Appear
227020 HtScore_ApacheIV
224845 Permanent Pacemaker Rate
226260 Mechanically Ventilated
224704 ATC %
229882 CVL Biopatch
230071 Documented in DC Summary (CVL)
227847 Sit to Stand
229103 Infection NCP - Problem resolved
228575 Incision #5- Treatment
225677 Phosphorous
228430 Indications (MBAL)
227933 Recovery O2 sat - Aerobic Activity Response
224928 Impaired Skin Odor #7
224745 Respiratory Quotient
227355 IABP Dressing Occlusive
227812 Medication Infusion Rate - Adjunctive Pain Management
229834 Waveform Peak (VAD)
224368 Epidural Medication
228404 Motor L Arm
226777 TempApacheIIScore
226110 IABP placed in outside facility
229245 Humidifier Water % Fill Level
229748 Team members at bedside
227596 Impaired Skin Depth #9
229454 Exam-Ext/MSK
229821 Device (VAD)
229692 CPOT-Muscle Tension (CPOTa)
227590 GI #3 Tube Place Method
229862 Forehead SpO2 Sensor in Place
225784 Indwelling Port (PortaCath) Dressing Type
224663 PCA attempt
227343 Ambulatory aid
223903 Communication
224178 Small Volume Neb Dose #2
229050 Incision Drainage Amount #8
228206 Tandem Heart Access Line Discontinued
228074 Number of attempts to perform (LP)
227638 Medication Added #2 (Peritoneal Dialysis)
226858 CO pressure (PA Line)
227057 Type of admission
227667 Reason for Immobilizer
224659 Vacuum Assist
224314 ABI Brachial BP R (Impella)
227956 Urinal/Bedpan
226740 APACHE II Diagnosistic weight factors - Medical
224791 GI #3 Tube Type
228067 Stylette (Intubation)
227012 GCSMotor_ApacheIV
225728 Midline Tip Cultured
227134 ATC Tube #
223936 Radial Pulse R
228027 The Attending /Supervisor is the Clinician Operator (Aline)
225085 Post menopausal
228694 ICU Consent
229166 Specrectolabby (Bronch)
228553 Pressure Ulcer #5- Type
228380 Thoracic Fluid Content (TFC) (NICOM)
226526 Patient identified correctly (A-Line)
228540 Pressure Ulcer #2- Treatment
229649 Stroke NCP - Type
228594 Incision #1- Dressing Status
229845 Speed (CH)
223784 Pain Cause
225954 Dialysis Access Type
228718 Billing Diagnosis
228396 Orientation to Time
226995 ApacheIV_Natural antilog
228224 Tandem Heart Return Cannula Repositioned
224226 Impaired Skin Wound Base #1
228444 BIS Index Range
224434 CT #3 Fluctuate
227651 Lochia Character
224491 Lidocaine 1% (LP)
225002 Incision Cleansing #6
225746 Pheresis Catheter Discontinued
224749 Nitric Oxide
229123 Elimination NCP - Plan revised
228699 Cardiovascular
227293 Multi Lumen Dressing Occlusive
224150 Filter Pressure
225776 Dialysis Catheter Dressing Type
229592 Exam-GU
229090 Altered Respiratory Status NCP - Plan revised
228767 Pressure ulcer #5- Drainage amount
228624 Pressure Ulcer #5- Width
228641 EtCO2 Clinical indication
223811 Anxiety
228760 Pressure ulcer #8- Drainage
228894 Impaired Fluid Balance NCP - Expected outcomes
225655 ZFK506
228605 Impaired Skin #6- Dressing Status
224711 Recruitment Duration
229341 Domestic Violence NCP - outcomes met
228574 Incision #4- Treatment
224844 Permanent Pacemaker Mode
227014 GCSVerbal_ApacheIV
224976 Surrounding Tissue #6
224935 Impaired Skin Site #7
220088 Cardiac Output (thermodilution)
228047 Follow-up X-RAY Ordered (PICC)
224672 Yawning
228549 Pressure Ulcer #1- Type
229332 Activity Intolerance NCP - outcomes met
227915 Position - Rest - Aerobic Activity Response
223829 Drowsiness
228020 Hand cleansing prior to procedure (A-Line)
228203 Tandem Heart Access Line Cannula Site
224891 Impaired Skin Cleanse #5
220339 PEEP set
229179 Specrectolabbyother (PACEN)_OLD_1
227041 Post-Operative Gastrointestinal (GI)
229107 Pain NCP - Problem resolved
226092 Orthostatic BPd lying
228595 Incision #2- Dressing Status
225526 Bronchoalveolar lavage (BAL) / washing (Bronch)
228606 Impaired Skin #7- Dressing Status
226531 Admission Weight (lbs.)
226161 Sterile field maintained throughout procedure (PICC)
228081 Hand cleansing prior to procedure (PACEN)
227953 Range of Motion
227354 Triple Introducer Dressing Occlusive
224430 CT #3 Drainage
229627 Pulmonary Artery Pressure Alarm - Low (Veletri)
224985 Tunneling Present #8
227001 BunScore_ApacheIV
227840 Money Management
225685 Thiocynate
226121 Tunneled (Hickman) placed in outside facility
228482 Dressing Applied (Gen Proc)
227133 Small Volume Neb Drug #2
224956 Impaired Skin Width #7
228450 Angio Site # 4
227716 Cerebral Perfusion Pressure Alarm - High
223824 Seizure
228525 Impaired Skin #8- Cleanse
226707 Height
229489 Complications (SBNET)
225217 Trauma Line Site Appear
224495 Patient position (LP)
229180 Specrecbyhand (THCEN)
228191 Infusion Pressure of Line
224660 ECMO
225778 IABP Dressing Type
224341 Acuity (CVL)
230032 Flow Sensor repositioned (Tandem)
227831 Grooming
224429 CT #4 Crepitus
229176 SpecrecPOE (PACEN)
229723 Ultrasound Images printed (PACath)
227848 Transfer
229273 Flow Sensor repositioned (ECMO)
228232 PAR-Oxygen saturation
228382 Total Peripheral Resistance Index (TPRI) (NICOM)
228435 Volume instilled (MBAL)
223962 Temporary Pacemaker Wires Venticular
225176 Range of Motion Status
228200 Vibration in Line
224054 Braden Sensory Perception
229497 Final Position confirmed (SBNET)
229464 Discussed on Rounds
228492 Present and Agree (Gen Proc)
225612 Alkaline Phosphate
225949 NIV Mask
223754 Risk for Falls
227923 Activity HR - Aerobic Activity Response
226185 ICU Consent Signed
229268 Circuit Configuration (ECMO)
228569 Incision #5- Cleanse
229347 Impaired Mobility NCP - Interventions
227353 Trauma Line Dressing Occlusive
228838 Pressure ulcer #6- Tunneling present
224990 Undermining Present #6
227010 FiO2_ApacheIV
225323 Dialysis Catheter Site Appear
225126 Dialysis patient
230051 PNC-1 Infusion Rate (mL/hr)
224832 ETT Type
227676 Reason for Restraints (Non-Violent)
228754 Pressure ulcer #2- Drainage
224903 Impaired Skin Drainage #3
229789 Phenylephrine (Intubation)
228705 Nutrition
227366 16 Gauge Dressing Occlusive
229480 Patient identified correctly (SBNET)
228521 Impaired Skin #4- Cleanse
229417 MyICU Reviewed
227602 Impaired Skin Length #9
228727 Pressure ulcer #5- Length
229252 Emergency Equipment at bedside (LVAD)
229113 Self harm NCP - Problem resolved
227577 BiPap Mode
223801 NMB Medication
225633 Acuity (PA line)
227539 ART Blood Pressure Alarm Source
225688 ZTobramycin (Peak)
227642 Breast Feeding
227105 Catheter insertion length (CVL)
223763 Bladder Pressure
228049 Attending/Supervisor is the Clinical Operator (PICC)_New
224109 Cervical Collar Type
227968 All Medications Tolerated without Adverse Side Effects
228434 Route (MBAL)
227757 PA Catheter Placement Confirmed by X-ray
224423 CT #2 Crepitus
225747 PICC Line Discontinued
229271 Flow Alarm (Hi) (ECMO)
223780 Daily Wake Up Deferred
228608 Impaired Skin #9- Dressing Status
228712 VAP - Prophy
225388 Presep Catheter Waveform Appear
228346 OCAT - Teeth
227365 14 Gauge Dressing Occlusive
223926 Neuro Drain #1 Type
228581 Impaired Skin #6- Type
225745 PA Catheter Discontinued
228311 GI #3 Tube Place Check
228098 16 Gauge placed in the field
229033 Incision Appearance #7
228541 Pressure Ulcer #3- Treatment
224689 Respiratory Rate (spontaneous)
227538 ART Blood Pressure Alarm - Low
226545 Race
225965 Peritoneal Dialysis Catheter Status
225027 Incision Dressing #6
225511 Indications (Bronch)
224561 Impaired Skin Type #1
227056 Thrombolytic therapy
226131 ICP Line Tip Cultured
225813 Baseline pain level
228182 SVI (PiCCO)
228096 Richmond-RAS Scale
229717 Ultrasound Images used for preproc assess (Aline)
226130 ICP Line Site Appear
224899 Impaired Skin Depth #6
227919 Rest O2 Sat - Aerobic Activity Response
228073 Site cleansed with Providone Iodine (LP)
223964 Transcutaneous Pacer
228808 Pressure ulcer #6- Dressing status
227048 Post-Operative Transplant (TRANSPLANT)
224926 Impaired Skin Odor #5
229499 Order to use in POE (SBNET)
228810 Pressure ulcer #8- Dressing status
224814 GI #1 Tube Place Method
224016 Urine Color
227027 Non-Operative Genitourinary (GENITOURIN)
224691 Flow Rate (L/min)
229308 High Power Alarm (HeartWare)
227916 Rest HR - Aerobic Activity Response
228007 14 G Phlebitis Scale
224642 Temperature Site
229021 Incision #9- Cleanse
224718 RR > 35 for > 5 min
229169 Specreclabeled (MBAL)
228500 Impaired Skin #5- Location
225657 Freeform Coags
225271 Induction/Drugs/Doses (Intubation)
229431 ROS-Extremeties / MSK
227364 RIC Dressing Occlusive
228522 Impaired Skin #5- Cleanse
226985 APACHE IV diagnosis choice 1
225668 Lactic Acid
224968 Pressure Ulcer Stage #5
227052 Sodium_ApacheIV
225225 CCO PAC Site Appear
226987 APACHE IV diagnosis
227860 Rest RR - Aerobic Capacity
224505 Lidocaine 1% (THCEN)
224897 Impaired Skin Depth #4
224764 Neuro Drain Location
229990 Filters checked (Anes)
223923 Seizure Activity
224413 TOF Response
229038 Incision #8- Dressing Status
225291 Indication (Intubation)
229379 Swallow Eval
228618 Pressure Ulcer #9- Depth
225260 Entry site (PACEN)
223990 Respiratory Effort
229371 Bladder Scan Estimate
228088 Hand cleansing prior to procedure (THCEN)
224810 CT #3 Suction Type
225014 Incision Drainage #3
220562 ZPTT
229838 Other Labs Reviewed in OMR
226979 Admission location
225748 Indwelling Port (PortaCath) Discontinued
223910 Follows Commands
225951 Peritoneal Dialysis Fluid Appearance
223769 O2 Saturation Pulseoxymetry Alarm - High
228711 Time spent
226527 Timeout performed by (A-Line)
228556 Pressure Ulcer #8- Type
228045 Transparent dressing applied and dated (PICC)
229979 COVID NCP - Plan revised
228791 Pressure ulcer #9- Cleanse
224890 Impaired Skin Cleanse #4
225598 Verification of (LP)
225790 Site cleaned with ChloraPrep(TM) (PICC)
229839 Other Micro / Path Reviewed in OMR
226754 FiO2ApacheIIValue
226857 PA mean pressure (PA Line)
229652 Stroke NCP - Interventions
229343 Domestic Violence NCP - Plan revised
224332 PCA inject
227855 Assistive Device
224866 Temporary Atrial Capture
229043 Incision Closure #9
228870 HM II- Sys Cont in Prim Mode
226168 Oral Care
228559 Incision #1- Location
223810 Paroxysmal Sweats
226815 Airway problems
226851 RV diastolic pressure(PA Line)
229687 Pain Assessment Method
227762 Trauma Line Placement Confirmed by X-ray
224643 Manual Blood Pressure Diastolic Left
229685 Vaulables Checklist
228051 Hand cleansing prior to procedure (Bronch)
229309 Backup Controller (HeartWare)
227606 Impaired Skin Site #9
228181 ITBVI (PiCCO)
227117 PCA total dose units
225638 Differential-Bands
227731 AVA Line Zero/Calibrate
225982 IABP Balloon Waveform
224710 Recruitment Press
223851 Rate
228988 Safety Restraints NCP - Interventions
225721 Acuity (A-Line)
229703 CPOT-Pain Management
227755 Midline Placement Confirmed by X-ray
228064 I was present during the above procedure and agree with the checklist (Bronch)
229425 ROS-Respiratory
228926 Impaired Tissue Perfusion NCP - Goal
226068 ZGentamicin (Trough)
227948 Restraint Device (Non-violent)
227864 Activity HR - Aerobic Capacity
224994 Incision Appearance #3
229663 Pinsp (Hamilton)
228815 Pressure ulcer #3- Stage
228177 CI (PiCCO)
224857 Less Restrictive Measures (Behavioral)
227449 Gentamicin (Trough)
224835 Temporary Ventricular Capture
228070 The Attending/Supervisor is the Clinical Operator (Intubation)
228860 Impaired Skin #8- Type
220235 Arterial CO2 Pressure
229184 Specrectolabby (THCEN)
225500 Verification of (PACEN)
225184 Eye Care
224283 Multi Lumen Waveform Appear
229358 Absolute Count - Lymphs
228449 Angio Site # 3
224565 Surrounding Tissue #1
228813 Pressure ulcer #1- Stage
228090 Number of attempts (THCEN)
220546 WBC
225485 Insertion kit used (THCEN)
227125 Indwelling (PortaCath) Port Type
225686 ZThrombin
220074 Central Venous Pressure
228739 Pressure ulcer #7- Wound Base
225644 ZDigoxin
227024 MapScore_ApacheIV
226743 APACHE II
228413 Seizure Activity
225704 Site cleaned with ChloraPrep(TM) (CVL)
228375 Stroke Volume Index (SVI NICOM)
224740 RSBI Deferred
228943 Infection NCP - Expected outcomes
228099 18 Gauge placed in the field
225726 Tunneled (Hickman) Line Tip Cultured
224751 Temporary Pacemaker Rate
229796 Estimated Blood Loss (PACath)
228106 NonOperative Diagnoses
228009 16 G Phlebitis Scale
224859 Status and Comfort (Behavioral)
228878 PeCO2
229194 SpecrecPOE (Gen Proc)
228411 Strength R Leg
226014 Dressing applied and dated (LP)
225586 Stylette (Intubation)
224562 Impaired Skin Length #1
229370 Acuity Workload Question 2
228028 I was present during the above procedure and agree with the chacklist (A-Line)
227367 18 Gauge Dressing Occlusive
224330 PCA 1 hour limit
225242 Indication (THCEN)
225188 Cough/Deep Breath
224322 IABP Mean
229589 Ultrasound Images Interpreted and Stored (A-Line)
228928 Impaired Tissue Perfusion NCP - Interventions
228803 Pressure ulcer #1- Dressing status
225700 Immediate complications (CVL)
229686 Warming Device
229744 Reason for Trigger
227578 BiPap Mask
229878 Circuit inspected for clot (CH)
224703 ZATC Tube #
229830 System controller in primary mode (VAD)
229644 Stroke NCP - Expected outcomes
228211 Tandem Heart Access Line Postion Confirmed
228520 Impaired Skin #3- Cleanse
220507 Activated Clotting Time
228714 Bladder scanned
227016 GlucoseScore_ApacheIV
224629 Number of operators (CVL)
228586 Dressing Status
224006 Emesis Appearance
225250 Complications (THCEN)
228436 Volume obtained (MBAL)
228011 18 G Phlebitis Scale
229554 Avalon Position
228039 The Attending/Supervisor is the Clinician Operator (CVL)
228065 Hand Cleansing prior to procedure (Intubation)
227026 Non-Operative Gastrointestinal (GI)
224426 CT #2 Fluctuate
223781 Pain Present
229564 Plan-Abdominal/GI
224879 Nares L
223930 Neuro Drain #1 Level
227662 Patient/Family Informed_V2
224904 Impaired Skin Drainage #4
227873 Recovery O2 Sat - Aerobic Capacity
224317 ABI Ankle BP R
224948 Impaired Skin Type #6
224414 TOF Twitch
229365 P1 - P2 (ECMO)
229164 SpecrecPOE (Bronch)
228645 Barrier precautions in place (PACEN)
223995 CT #1 Fluctuate
229238 FiO2 Challenge
226431 Verification of (Intubation)
229300 GI #1 Tube Mark (CM)
224379 PCA cleared
224800 AV Fistula R Bruit
228217 Tandem Heart Return Cannula Discontinued
226430 Complications (Intubation)
229317 StO2
225772 Sheath Size
225397 Triple Introducer Waveform Appear
224064 Restraint Location_V1
224452 Traction/Immobile Location #2
225237 16 Gauge Site Appear
229775 Yawning (COWS)
225680 ZProcan Napa
227292 Arterial Line Dressing Occlusive
225568 Site cleaned with ChloraPrep(TM) (A-Line)
227595 Impaired Skin Cleanse #10
227042 Post-Operative Genitourinary (GENITOURIN)
228440 Verification of (MBAL)
228004 Citrate (ACD-A)
223775 VAD Beat Rate R
227781 Impaired Skin - Dressing Status #2
224652 Unassisted Systole
228761 Pressure ulcer #9- Drainage
229277 Speed (ECMO)
227815 Site Appearance - Adjunctive Pain Management
224181 Small Volume Neb Drug #1
229563 Plan-Respiratory
225980 IABP Volume
228345 OCAT - Swallow
225739 Cordis/Introducer Discontinued
227033 Non-Operative Transplant (TRANSPLANT)
226982 AlbuminScore_ApacheIV
229496 I was present during the above procedure and agree with the checklist (SBNET)
229040 Incision #10- Dressing Status
223918 RL Strength/Movement
228764 Pressure ulcer #2- Drainage amount
225025 Incision Dressing #4
225022 Incision Drainage Amount #6
227053 SodiumScore_ApacheIV
227025 Non-Operative Cardiovascular (CARDIOVASC)
227594 Impaired Skin Cleanse #9
226253 SpO2 Desat Limit
225956 Reason for CRRT Filter Change
227120 Motor Deficit
224375 Cont Neb - Med
229544 EKOS Line Discontinued
228167 Impella Dressing Occlusive
224632 Tunneling Present #1
225533 Autofluorescence AF (Bronch)
228615 Pressure Ulcer #6- Depth
229181 Specreclabeled (THCEN)
229869 Pressure Injury Prevention Interventions
226775 SodiumApacheIIScore
226094 Orthostatic BPd sitting
229852 Delta P (CH)
229116 Sensory disturbance NCP - Plan revised
227839 Home Management
226129 ICP Line placed in outside facility
227375 Daily Wake Up
225695 Uric Acid
227007 Diabetes
224489 Indication (LP)
228301 CAM-ICU Inattention
223820 Headache
229988 Circuit changed (Anes)
228546 Pressure Ulcer #8- Treatment
227089 Discharge to
227837 Toileting
224121 22 Gauge Reason Discontinued
225683 ZSed Rate
225228 CCO PAC Zero/Calibrate
224645 Orthostatic BPs lying
227958 Less Restrictive Measures
224775 CT #1 Leak
227127 Indwelling (PortaCath) Port #1
229566 Plan-Nutritional
225734 Presep Catheter Line Tip Cultured
228040 I was present during the above procedure and agree with the checklist (CVL)
229407 PFRatio_Value
228101 22 Gauge placed in the field
228512 Pressure Ulcer #7- Location
227009 FiO2_ApacheIV_old
228995 Discharge NCP - Goal
225690 Total Bilirubin
229041 Incision Closure #7
227088 Admit from
229182 SpecrecPOE (THCEN)
225013 Incision Drainage #2
228999 Discharge NCP - Outcomes met
227349 High risk (>51) interventions
224914 Impaired Skin Drainage Amount #7
225524 Complications (Bronch)
225292 Unable to complete Airway Assessment (Intubation)
227288 Pupil Response Left
227240 NBP Alarm Source
229773 Sweating (COWS)
228437 Hand cleansing prior to procedure (MBAL)
227785 Impaired Skin - Dressing Status #6
225740 Dialysis Catheter Discontinued
227537 ART Blood Pressure Alarm - High
224564 Impaired Skin Odor #1
224447 Family Meeting
227653 Pad Change/Hour
229612 Ultrasound Images interpreted (CVL)
225706 Insertion kit used (CVL)
224044 Incision Packing #1
229487 2 Stage CXR Insertion Technique (SBNET)
228850 Pressure ulcer #8- Undermining present
228640 EtCO2
220120 Intra Aortic Ballon Pump Setting
228879 Education Readiness/Motivation
228571 Incision #1- Treatment
228272 FM Location
224149 Access Pressure
227626 Seizure Pads
223933 Heat Sounds
225078 Social work consult
229044 Incision Closure #10
228427 Contraindications (MBAL)
224862 Edema Amount
223901 GCS - Motor Response
229822 Driveline Lock Engaged (VAD)
229472 24 Gauge placed in outside facility
225190 Pin Care
224318 ABI Ankle BP L (Impella)
230035 Accessory muscle use.
228610 Pressure Ulcer #1- Depth
228115 Site cleansed with ChloraPrep(TM) (PA line)
223805 Nausea and Vomiting (CIWA)
224001 Diet Type
229278 Sweep (ECMO)
226189 Patient identified correctly by 2 means (Intubation)
225670 ZLDL measured
227700 Safety Measures
228137 CHG Bath
227046 Post-Operative Neurologic (NEUROLOGIC)
223768 Intra Cranial Pressure Alarm - Low
228102 Enema administration
228855 Impaired Skin #3- Type
227929 Position - Recovery - Aerobic Activity Response
228839 Pressure ulcer #7- Tunneling present
224617 Timeout performed by (PA line)
226770 PO2ApacheIIValue
225414 Home without services
227452 Tobramycin (Trough)
228502 Impaired Skin #7- Location
227945 Restraint (Non-violent)
227516 PO2 (Mixed Venous)
224011 Stool Consistency
224359 QTc
225297 Teeth/Dentition (Intubation)
228171 Impella Placement Confirmed
224043 Incision Cleansing #1
225076 Emotional / physical / sexual harm by partner or close relation
227290 CRRT mode
227047 Post-Operative Respiratory (RESPIRAT)
224041 Incision Drainage #1
220624 HDL
226761 HematocritApacheIIScore
228558 Pressure Ulcer #10- Type
223951 Capillary Refill R
229052 Incision Drainage Amount #10
223825 Sustained Nystagmus
227672 Violent Restraints Ordered
226779 WbcApacheIIScore
223999 Oral Cavity
228862 Impaired Skin #10- Type
225615 Location (PA line)
224828 Arterial Base Excess
228263 FM Concerns elicited
227443 HCO3 (serum)
223821 Orient/Clouding Sensory
225738 CCO PAC Discontinued
225961 Medication Added Units #1 (Peritoneal Dialysis)
228751 Pressure ulcer #9- Surrounding tissue
224345 Barrier precautions in place (CVL)
227456 Albumin
227582 BiPap O2 Flow
224685 Tidal Volume (observed)
229018 Incision #10- Location
228285 FM Tx/goals
225689 Insertion kit used (PICC Line)
225277 ETT Position (cm at teeth)
223840 ETT Re-taped
225230 20 Gauge Reason Discontinued
228297 Daily Wake Up Deferred
227051 RRScore_ApacheIV
225303 Mask Ventilation (Intubation)
229174 Specrecbyhand (PACEN)
229405 PF Value
224144 Blood Flow (ml/min)
229994 Vaporizer checked (Anes)
227836 LE Dressing
225541 Verification of (Bronch)
223976 RUE Color
228792 Pressure ulcer #10- Cleanse
228327 PC Reason for visit
229141 Substance withdrawal NCP - Problem resolved
226993 ApacheIV_LOS
229784 Code Status (Intubation)
227621 Surrounding Tissue #10
225952 Medication Added #1 (Peritoneal Dialysis)
223878 ZOR Intake
223830 PH (Arterial)
229761 Creatinine (whole blood)
227758 Pheresis Catheter Placement Confirmed by X-ray
223988 LUL Lung Sounds
228196 Return Site Observed (Tandem Heart)
227732 AVA Line Placement Confirmed by X-ray
228303 CAM-ICU Disorganized thinking
226763 HrApacheIIScore
224951 Impaired Skin Width #2
220056 Arterial Blood Pressure Alarm - Low
224444 GI #3 Tube Place Check
229987 Filters checked
224028 Skin Color
228621 Pressure Ulcer #2- Width
224954 Impaired Skin Width #5
228326 PC Sacrament of the Sick
224406 VEN Lumen Volume
228296 PCA concentrations
225131 Teaching directed toward
226737 AaDO2ApacheIIValue
229646 Stroke NCP - Plan revised
228157 Placement Monitoring Screen
229477 Indications (SBNET)
230040 Paradoxical breathing
225571 Number of attempts required to place line (A-Line)
226859 CI pressure (PA Line)
224145 Heparin Dose (per hour)
223679 TCO2 (calc) Venous
227986 Neuro Drain #2 Landmark
224665 PCA total dose
229782 Estimated Blood Loss (CVL)
228066 Unable to complete Airway Assessment (Intubation)
220574 ZAlbumin
220125 Left Ventricular Assit Device Flow
227035 OxygenScore_ApacheIV
228834 Pressure ulcer #2- Tunneling present
223921 Neuro Symptoms
228032 Hand cleansing prior to procedure (CVL)
228277 FM Pt present
228442 BIS - EMG
224337 Insertion site (CVL)
228788 Pressure ulcer #6- Cleanse
229842 Flow (CH)
228124 I was present during the above procedure and agree with the checklist (PA Line)
224816 GI #2 Tube Place Method
227609 Impaired Skin Treatment #10
224067 Range of Motion
230042 RR per min
229788 Rocuronium (Intubation)
227932 Recovery RR - Aerobic Activity Response
223836 Airway Type
229306 HCT (HeartWare)
224987 Undermining Present #3
229350 Impaired Mobility NCP - Plan revised
224661 Baseline Current/mA
229536 Dialysis Catheter Type
220541 ZFibrinogen
228222 Tandem Heart Return Cannula Migration
225020 Incision Drainage Amount #4
228519 Impaired Skin #2- Cleanse
228561 Incision #3- Location
227600 Impaired Skin Drainage Amount #9
225590 Tracheal Confirmation (Intubation)
223871 Physio
228243 PH (SOFT)
226751 CreatinineApacheIIScore
229048 Incision Drainage #10
228789 Pressure ulcer #7- Cleanse
228048 Immediate complications (PICC)
227983 Neuro Drain #2 Drainage
228374 Stroke Volume (SV NICOM)
229104 Nutrition NCP - Plan revised
228179 ELWI (PiCCO)
227687 Tobacco Use History
224931 Impaired Skin Site #3
226774 RRApacheIIValue
224662 Current Used/mA
224896 Impaired Skin Depth #3
228044 Sterile field maintained throughout procedure (PICC)
225289 Attending/Supervisor is Clinician Operator (PICC)
227036 PCO2_ApacheIV
226065 ZVancomycin (Random)
227647 Clot Size (cm)
225387 Presep Catheter Site Appear
227618 Pressure Ulcer Stage #9
226228 Gender
228473 Conscious Sedation (Gen Proc)
225288 Follow-up X-RAY Ordered (PICC)
224684 Tidal Volume (set)
229986 Leak test done (Anes)
229126 Altered Sensory Perception NCP - Interventions
227034 Non-Operative Trauma (TRAUMA)
225697 ZVancomycin (Peak)
225694 ZTropinin - T
227570 Small Volume Neb Drug/Dose #1
225639 Differential-Basos
228511 Pressure Ulcer #6- Location
228530 Impaired Skin #2- Treatment
225395 Triple Introducer Site Appear
224370 Sputum Color
223991 Cough Effort
229770 Resting Pulse Rate (COWS)
227038 PHPaCO2Score_ApacheIV
225504 Site cleaned with ChloraPrep (PACEN)
223059 Intubation - Details
228294 IO Wristband in place
229047 Incision Drainage #9
224957 Impaired Skin Width #8
220048 Heart Rhythm
224154 Dialysate Rate
225247 Fluid Removed Description (THCEN)
226479 Ectopy Type 2
226136 16 Gauge placed in outside facility
225702 Follow-up chest X-RAY ordered (CVL)
223791 Pain Level
227128 Indwelling (PortaCath) Port #2
224936 Impaired Skin Site #8
224758 RUE Sensation
228957 Coping/Knowledge Deficit NCP - Interventions
227771 Traction/Immobile #1
223961 Temporary Pacemaker Wire Condition
225185 Skin Care
227344 IV/Saline lock
229841 FiO2 (CH)
229172 Specrectolabby (MBAL)
226499 Hemodialysis Output
224673 Abdominal Changes: Observation
228700 DVT Prophy
223948 Radial Pulse L
224786 GI #1 Tube Status
227451 Tobramycin (Random)
224454 Traction/Immobile Location #4
227477 Incision Site #6
229641 Stroke NCP - Consults
229767 GI Upset (COWS)
226863 PVR %O2 Saturation (PA Line)
226117 Sheath placed in outside facility
224428 CT #3 Crepitus
228284 FM Time spent
226768 PhApacheIIScore
229836 Low Speed Limit (VAD)
228034 Sterile field maintained throughout procedure (CVL)
228371 DO2I (NICOM)
225742 IABP Line Discontinued
226814 Known difficult intubation
225244 Side (THCEN)
228120 Transparent dressing applied and dated (PA line)
223764 Orthostatic HR lying
224706 P Low (APRV)
227462 FK506
225674 Mixed Venous O2% Sat
223880 ZFree Form Intake
227613 Impaired Skin Type #10
224759 LUE Sensation
227243 Manual Blood Pressure Systolic Right
224329 PCA lockout (min)
228774 Pressure ulcer #2- Odor
228563 Incision #5- Location
228557 Pressure Ulcer #9- Type
228377 SVI Change
223760 Health Care Proxy
227032 Non-Operative Respiratory (RESPIRAT)
228087 Insertion kit used (THCEN)
228693 Hematological_OLD_1
229695 CPOT-Vocalization (CPOTb)
228018 RIC Infiltration Scale
225984 IABP Trigger
224456 PT Splint Location #2
229143 Metabolic disturbance NCP - Expected outcomes
228874 HM II- Speed (RPM)
223898 Orientation
229096 Discharge NCP - Plan revised
229430 ROS-Endocrine
228785 Pressure ulcer #3- Cleanse
228060 Conscious sedation used (Bronch)
227806 ScvO2 (Presep) SQI
224668 Sweating
228861 Impaired Skin #9- Type
228847 Pressure ulcer #5- Undermining present
220210 Respiratory Rate
228035 Transparent dressing applied and dated (CVL)
229324 CAM-ICU Disorganized thinking
228267 FM Discord noted
226525 Indications (A-Line)
224373 Sputum Amount
228551 Pressure Ulcer #3- Type
228381 Total Peripheral Resistance (TPR) (NICOM)
228307 GI #1 Tube Place Check
224169 MDI #1 Puff
224015 Urine Source
224088 Pressure Reducing Device
228935 Post-op Care NCP - Goal
225300 No Drugs Administered (Intubation)
229280 FiO2 (ECMO)
223823 Insomnia
229016 Incision #8- Location
223939 Brachial Pulse R
228841 Pressure ulcer #9- Tunneling present
225678 ZPlatelet Count
224366 Epidural Infusion Rate (mL/hr)
228598 Incision #5- Dressing Status
228816 Pressure ulcer #4- Stage
228971 Nutrition NCP - Body needs
228835 Pressure ulcer #3- Tunneling present
228523 Impaired Skin #6- Cleanse
225206 Multi Lumen Zero/Calibrate
228379 TFCd0 (NICOM)
227360 Indwelling Port (PortaCath) Dressing Occlusive
228997 Discharge NCP - Interventions
228949 Infection NCP - outcomes met
227527 ADA-A (500ml)
224003 Abdominal Assessment
220581 Amylase
228782 Pressure ulcer #10- Odor
227620 Surrounding Tissue #9
229715 Ultrasound Images stored (Aline)
230046 Interpreter Used
226894 Coefficient ICU length of stay
229829 Speed (VAD)
229881 Dialysis/Pheresis Biopatch
228059 Transbronchial needle aspirate (Bronch)
223819 Visual Disturbances
229423 ROS-Neuro
229795 Estimated Blood Loss (Para)
226069 ZGentamicin (Random)
224932 Impaired Skin Site #4
228543 Pressure Ulcer #5- Treatment
225135 Consults
226773 RrApacheIIScore
227466 PTT
229975 COVID NCP - Expected outcomes
225637 Differential-Atyps
228042 Hand Cleansing Prior to Procedure (PICC)
229694 CPOT-Vocalization (CPOTa)
228725 Pressure ulcer #3- Length
227668 Side Rails_V2
224110 Cervical Collar Status
224938 Impaired Skin Treatment #3
223954 Pericardial Drain Site
224449 Traction/Immobile #2
229771 Restlessness (COWS)
225786 Sheath Dressing Type
225043 Incision Packing #2
224173 MDI #2 Drug
227546 SVV (Arterial)
229898 LVEDP (Impella)
223956 Temporary Pacemaker Mode
226865 SVR %O2 Saturation (PA Line)
225313 Bed Bath
228420 Compression device # 2
227628 Arctic Sun Water Temp
226012 Dressing applied and dated (PACEN)
228703 Musculoskeletal
225708 Immediate complications (PICC)
228230 PAR-Circulation
224984 Tunneling Present #7
220045 Heart Rate
229466 24 G Infiltration Scale
228584 Impaired Skin #9- Type
227861 Rest O2 Sat - Aerobic Capacity
223902 Speech
227854 Weight Bearing Status
224076 Education Barrier
229647 Stroke NCP - Problem
228324 PC Spiritual interventions
227726 AVA Line Tip Cultured
226738 AgeApacheIIScore
220603 Cholesterol
224959 Impaired Skin Wound Base #3
224072 Education Learner
229674 Motor Current (mA) Low (R)
228903 Altered Respiratory Status NCP - Goal
224756 Response
228966 Nutrition NCP - Interventions
226133 ICP Line Waveform Appear
224721 HR > 140
220128 Right Ventricular Assist Device Flow
229312 Motor Current (mA) Low
224855 Patient/Family Informed_V1
228911 Altered Skin Integrity NCP - Expected outcomes
225771 Sheath Zero/Calibrate
224167 Manual Blood Pressure Systolic Left
227187 Pinsp (Draeger only)
228730 Pressure ulcer #8- Length
225092 Self ADL
223804 TOF Response/Twitch
228759 Pressure ulcer #7- Drainage
223907 Pupil Size Right
229162 Specrecbyhand (Bronch)
220060 Pulmonary Artery Pressure diastolic
229899 Left Ventricular Pressure Signal - Systolic
224838 Temporary Ventricular Stim Setting mA
228392 Alsius Bath Temp
227599 Impaired Skin Drainage #10
223970 Angio Dressing # 1
224916 Impaired Skin Length #2
229486 Topical Lidocaine used (SBNET)
230078 Documented on DC Summary (Thora)
227013 GcsScore_ApacheIV
229434 Unable to obtain
223917 RU Strength/Movement
225811 CV - past medical history
229286 Prophylaxisold
228282 FM SW consult
224680 Cuff Volume/units
229840 Circuit Configuration (CH)
228184 SVV (PiCCO)
228091 Number of operators (THCEN)
228872 HM II- Mean BP
223817 Agitation
220621 Glucose (serum)
228627 Pressure Ulcer #8- Width
225023 Incision Dressing #2
226139 22 Gauge placed in outside facility
229794 Estimated Blood Loss (MBAL)
228145 ABI Ankle BP L
226854 PCWP (v wave) (PA Line)
225227 CCO PAC Waveform Appear
224517 Patient identified correctly (PICC)
225278 ETT Route
224079 Education Response
224687 Minute Volume
230075 Documented on DC Summary (PA)
229547 EKOS site
224964 Impaired Skin Wound Base #8
229691 CPOT-Muscle Tension (CPOTb)
227450 Tobramycin (Peak)
225953 Solution (Peritoneal Dialysis)
226329 Blood Temperature CCO (C)
227350 Cordis/Introducer Dressing Occlusive
228833 Pressure ulcer #1- Tunneling present
229670 Dual Signal Screen (R)
224955 Impaired Skin Width #6
220283 Resistance
227639 Medication Added Amount #2 (Peritoneal Dialysis)
227023 MAP_ApacheIV
224092 Range of Motion Location
224719 SaO2 < 90% > 2 min
228452 Compression device # 4
229427 ROS-GU
228930 Impaired Tissue Perfusion NCP - Outcomes met
224746 Transpulmonary Pressure (Exp. Hold)
228550 Pressure Ulcer #2- Type
226107 Arterial Line placed in outside facility
229093 Altered Skin Integrity NCP - Problem resolved
225016 Incision Drainage #5
229843 Flow Alarm (Hi) (CH)
229475 Indwelling Port (PortaCath) Power Port
229714 Ultrasound Images probe covered (Aline)
226892 Re-admit < 48 hours
224017 GU Catheter Size
230056 PNC-2 Appearance
220072 Central Venous Pressure Alarm - High
227677 Reason for Restraint/Seclusion (Violent)
228933 Post-op Care NCP - Expected outcomes
224581 Ultrasound (PICC)
227905 Patient agrees with the above goals and is willing to participate in the rehabilitation program
225646 Transparent dressing applied and dated (PA line)
223920 LL Strength/Movement
229467 24 G Phlebitis Scale
229360 Absolute Count - Eos
228508 Pressure Ulcer #3- Location
228410 Strength L Leg
224992 Undermining Present #8
223752 Non-Invasive Blood Pressure Alarm - Low
227775 Skeletal Traction #1 - Pounds
229991 Absorbent changed (Anes)
229416 Disposition
229382 Orientation Score (new)_OLD_1
228886 Pain NCP - Goal
228643 Barrier precautions in place (Intubation)
224779 CT #3 Leak
229546 EKOS US
226180 Sexuality / reproductive problems
224087 Therapeutic Bed
227011 GCSEye_ApacheIV
220224 Arterial O2 pressure
227568 Airway Size (mm)
225240 14 Gauge Site Appear
229191 Specrectolabbyother (LP)_OLD_1
226760 HCO3Score
225730 PA Catheter Line Tip Cultured
229088 Altered Mental Status NCP - Plan revised
228528 Skin Treatment
224831 Trach Tube Size (I.D.)
227957 Signs of Injury from Intervention
224769 LUE Temp
225731 Pheresis Catheter Line Tip Cultured
224937 Impaired Skin Treatment #2
229342 Domestic Violence NCP - Problem resolved
225787 Trauma Line Dressing Type
225488 Follow-up X-RAY Ordered (THCEN)
228821 Pressure ulcer #9- Stage
228851 Pressure ulcer #9- Undermining present
228273 FM Measures
226134 ICP Line Zero/Calibrate
225550 Side (A-Line)
229253 Emergency Equipment at bedside (RVAD)
225118 Difficulty swallowing
224818 GI #3 Tube Place Method
227841 Community Integration
226125 ICP Line Discontinued
229849 Part Alarm (Hi) (CH)
225191 Ostomy Care
224101 Chest PT R/L
229722 Ultrasound Images interpreted (PACath)
229363 P1 (ECMO)
229154 Palliative Care NCP - Plan revised
227447 Gentamicin (Random)
224777 CT #2 Leak
226852 PA systolic pressure(PA Line)
227455 Vancomycin (Trough)
228283 FM Sx controlled
224511 Type of catheter (PICC)
224952 Impaired Skin Width #3
226757 GCSMotorApacheIIValue
225976 Replacement Fluid
226767 OxygenApacheIIScore
228399 Facial Droop
224982 Tunneling Present #5
227212 Etomidate (Intubation)
229426 ROS-GI
225737 Arterial Line Discontinued
225963 Peritoneal Dialysis Catheter Type
229783 Estimated Blood Loss (A-line)
227640 Medication Added Units #2 (Peritoneal Dialysis)
227119 Epidural Location
228086 I was present during the above procedure and agree with the checklist (PACEN)
228875 HM II- PI
224468 Ultrasound (CVL)
228706 Pain control old
225723 CCO PAC Line Tip Cultured
227211 Ketamine (Intubation)
224445 GI #2 Tube Drainage
229569 Plan-Endocrine
229605 Manometry
228162 Impella Catheter Position
225959 Medication Added Amount #1 (Peritoneal Dialysis)
229896 Cardiac Power Output (CPO)
226541 ScvO2 Central Venous O2% Sat
227787 Impaired Skin - Dressing Status #8
228814 Pressure ulcer #2- Stage
229110 Safety Restraints NCP - Plan revised
224654 PAEDP
227547 SV (Arterial)
224435 CT #4 Fluctuate
220069 Left Artrial Pressure
224065 Circulation/Skin Integrity
228786 Pressure ulcer #4- Cleanse
227566 Ventilator Tank #2
224988 Undermining Present #4
228566 Incision #2- Cleanse
225658 Freeform Drug Level
225234 18 Gauge Site Appear
224641 Alarms On
225578 Indications (CVL)
228752 Pressure ulcer #10- Surrounding tissue
228193 Oxygenator/ECMO
224733 Pupil Size Left
226986 APACHE IV diagnosis choice 2
227644 Breast Feeding - R
227930 Recovery HR - Aerobic Activity Response
223997 CT #1 Dressing
229384 Tongue
229769 Pupil Size (COWS)
227586 GI pH
227073 Anion gap
228426 Complications - bleeding (MBAL)
227115 PCA bolus units
223876 Apnea Interval
224958 Impaired Skin Wound Base #2
228749 Pressure ulcer #7- Surrounding tissue
228231 PAR-Consciousness
228924 Impaired Tissue Perfusion NCP - Expected outcomes
228601 Impaired Skin #2- Dressing Status
223947 PostTib. Pulses L
229474 24 Gauge Reason Discontinued
228451 Compression device # 3
228112 GCSVerbalApacheIIValue (intubated)
228724 Pressure ulcer #2- Length
225028 Dressing Status #2
224023 Support Systems
228524 Impaired Skin #7- Cleanse
227782 Impaired Skin - Dressing Status #3
227853 Other (Activity); Specify
224970 Pressure Ulcer Stage #7
226752 CreatinineApacheIIValue
228036 Central Line ordered on POE
228602 Impaired Skin #3- Dressing Status
228023 Arterial line sutured
229319 Activity / Mobility (JH-HLM)
228983 Safety Restraints NCP - Expected outcomes
227802 GI Guaiac QC
229880 PICC Biopatch
225648 Follow-up X-RAYordered (PA Line)
223967 Angio Site # 1
227778 Skeletal Traction #4 - Pounds
229138 Substance withdrawal NCP - Interventions
227362 Pheresis Catheter Dressing Occlusive
227214 Cis-atracurium (Intubation)
229109 Post-op Care NCP - Problem resolved
228172 Impella Postion Confirmed
228016 22 G Infiltration Scale
229101 Impaired Tissue Perfusion NCP - Problem resolved
228474 Patient Position (Gen Proc)
224949 Impaired Skin Type #7
229746 Card Used
225807 Volume Out (PD)
226116 Presep Catheter placed in outside facility
229706 CP-Pain Assessment Method-Post
228646 Barrier precautions in place (THCEN)
229571 Plan-MSK/Skin/Wound
224596 Acuity (PICC)
229124 Altered Sensory Perception NCP - Expected Outcomes
229001 Self harm NCP - Expected outcomes
224667 Goose Flesh
227467 INR
227341 History of falling (within 3 mnths)
228216 Tandem Heart Access Line Type
227446 Brain Natiuretic Peptide (BNP)
225781 PA Catheter Dressing Type
228713 Vascular
228538 Impaired Skin #10- Treatment
230038 Look of fear
227062 WBC_ApacheIV
227801 Stool Guaiac QC
225267 Difficult to Intubate
229977 COVID NCP - Interventions
230084 Replacement Fluid (Post-Filter)
229448 See eMAR for meds
228858 Impaired Skin #6- Type
227043 Post-Operative Hematology (HEMATO)
224369 Sputum Consistency
229428 ROS-Skin
228807 Pressure ulcer #5- Dressing status
225281 Indications (PICC)
229851 Part (CH)
228292 IO Placed in outside facility
229537 Pheresis Catheter Type
228577 Impaired Skin #2- Type
227031 Non-Operative Neurologic (NEUROLOGIC)
224942 Impaired Skin Treatment #7
225018 Incision Drainage Amount #2
224925 Impaired Skin Odor #4
225977 Dialysate Fluid
229561 Plan-Cardiac
225287 Transparent dressing applied and dated (PICC)
223900 GCS - Verbal Response
224945 Impaired Skin Type #3
223938 Ulnar Pulse R
227643 Breast Feeding - L
220179 Non Invasive Blood Pressure systolic
228075 Number of operators (LP)
227988 Pronator drift present
229354 Foley Cath Insertion Location
224833 SBT Deferred
226096 Orthostatic BPd standing
225059 Past medical history
226008 Arterial line sutured
228395 Orientation to Place
227474 Incision Site #3
225239 14 Gauge Reason Discontinued
228504 Impaired Skin #9- Location
223905 Cough Reflex
225592 ETT Size (Intubation)
227215 Succynlocholine (Intubation)
225189 Incentive Spirometry
229263 Speed (RVAD)
230057 PNC-2 Bolus (mL)
228467 Verification (Gen Proc)
230045 Intellivent (Hamilton Vent Mode)
227049 Post-Operative Trauma (TRAUMA)
227579 BiPap EPAP
223994 CT #1 Suction Amount
229484 Route (SBNET)
224469 Medications / anesthetic (PA line)
229095 Coping/Knowledge Deficit NCP - Problem resolved
228905 Altered Respiratory Status NCP - Interventions
228784 Pressure ulcer #2- Cleanse
228496 Impaired Skin #1- Location
224829 Trach Tube Type
229178 Specrectolabby (PACEN)
224930 Impaired Skin Site #2
223935 PostTib. Pulses R
230059 PNC-2 Location
225019 Incision Drainage Amount #3
229302 GI #3 Tube Mark (CM)
228648 Home TF
225048 Knee Location - Immobilizer
224889 Impaired Skin Cleanse #3
228388 Glucose (whole blood) (soft)
227242 Manual Blood Pressure Diastolic Right
220615 Creatinine (serum)
229316 TOF Twitch
227751 CCO PAC Placement Confirmed by X-ray
224677 Tremor (CINA)
228264 FM Condition Rev
224905 Impaired Skin Drainage #5
228533 Impaired Skin #5- Treatment
226873 Inspiratory Ratio
225660 Freeform Hematology
229108 Post-op Care NCP - Plan revised
229798 Estimated Blood Loss (Thora)
228527 Impaired Skin #10- Cleanse
225122 Special diet
224499 Fluid removed (LP)
228565 Incision #1- Cleanse
228479 Number of Operators (Gen Proc)
225074 Any fear in relationships
228888 Pain NCP - Expected outcomes
227472 Incision Site #1
223770 O2 Saturation Pulseoxymetry Alarm - Low
228775 Pressure ulcer #3- Odor
225623 Number of attempts require to place line (PA line)
229339 Domestic Violence NCP - Interventions
226994 ApacheIV_Mortality prediction
225194 PT Splint Status #3
224910 Impaired Skin Drainage Amount #3
226771 PotassiumApacheIIScore
228063 The Attending/Supervisor is the Clinician Operator (Bronch)
224974 Surrounding Tissue #4
226523 Barrier precautions in place (A-Line)
225341 IABP Art. Waveform Appear
229635 Applied Cognitive (AM-PAC)
229637 Treatments (AM-PAC)
224026 Skin Integrity
229877 Suction events (CH)
226755 GcsApacheIIScore
230077 Documented on DC Summary (PICC)
226011 Number of attempts (PACEN)
228419 Compression device # 1
228471 Barrier Precautions (Gen Proc)
224062 Less Restrictive Measures (Acute Med/Surgical)
223916 Response to Stimuli (Type)
229105 Nutrition NCP - Problem resolved
229995 Amsorb changed (Anes)
228261 FM CM Consult
224112 Traction/Immobile #1
229106 Pain NCP - Plan revised
228462 Patient (Gen Proc)
228386 Chloride (whole blood) (soft)
228397 Commands Response
228503 Impaired Skin #8- Location
228531 Impaired Skin #3- Treatment
229567 Plan-Renal/GU
226230 Attending/Supervisor is Clinician Operator (CVL)
226537 Glucose (whole blood)
224363 VAD Beat Rate L
228163 Impella Catheter Repositioned
227124 Dialysis Catheter Type
227486 Printer
224986 Undermining Present #2
228614 Pressure Ulcer #5- Depth
223998 CT #1 Crepitus
228234 PAR-Respiration
225529 Transbronchial biopsy (Bronch)
228691 Febrile last 24 hours
220066 Pulmonary Artery Pressure Alarm - Low
228170 Impella Line Discontinued
220292 Minute Volume Alarm - Low
227039 PO2_ApacheIV
228510 Pressure Ulcer #5- Location
227760 Presep Catheter Placement Confirmed by X-ray
225775 Cordis Introducer Dressing Type
229269 Circuit inspected for clot (ECMO)
223879 ZPACU Intake
227549 ScvO2 (Presep)
224854 Reason for Restraint (Acute Medical/Surgical)_V1
225575 Arterial Line ordered on POE
223925 Seizure Duration
227866 Activity RR - Aerobic Capacity
227017 Hematocrit_ApacheIV
225031 Dressing Status #5
228175 Calibrated (PiCCO)
227470 Sed Rate
227054 TemperatureF_ApacheIV
229504 Inner Cannula Change
225129 Unable to assess teaching / learning needs
223875 Fspn High
226232 Present during key moments and agree with checklist (CVL)
228394 Orientation to Person
229330 Activity Intolerance NCP - Interventions
225298 Neck ROM (Intubation)
224848 Incision Appearance #1
225539 Timeout performed by (Bronch)
229304 Flow (L/min) (HeartWare)
223765 Orthostatic HR sitting
229854 Pressures Off (CH)
227589 GI #2 Tube Place Method
229333 Activity Intolerance NCP - Plan revised
226981 Albumin_ApacheIV
227122 Neuro Drain Landmark
226889 Legal Guardian
226759 HCO3ApacheIIValue
224755 Temporary Atrial Stim Setting mA
227756 Multi Lumen Placement Confirmed by X-ray
220799 ZSpecific Gravity (urine)
224998 Incision Cleansing #2
224993 Incision Appearance #2
227669 Side Rails (Restraint)
228378 TFCd (NICOM)
224731 Corneal Reflex Left
228514 Pressure Ulcer #9- Location
228425 Complications (MBAL)
225806 Volume In (PD)
224327 PCA medication
225701 Transparent dressing applied and dated (CVL)
227485 Print Job
224631 Pressure Ulcer Stage #1
229335 Activity Intolerance NCP - Goal
224913 Impaired Skin Drainage Amount #6
224057 Braden Mobility
224367 Epidural Total Dose (mL)
228649 Pressure Ulcer Present
224031 Edema Location
227059 UrineScore_ApacheIV
229650 Stroke NCP - Water Swallow
228857 Impaired Skin #5- Type
224900 Impaired Skin Depth #7
225005 Incision Closure #3
228213 Tandem Heart Access Line Repositioned
227752 Cordis/Introducer Placement Confirmed by X-ray
224061 Reason for Restraint (Behavioral)_V1
229855 Delta P Alarm (CH)
226855 PCWP (mean) (PA Line)
229362 Absolute Count - Retic
224019 Bladder Irrigation
226108 CCO PAC placed in outside facility
226118 Dialysis Catheter placed in outside facility
223800 Epidural Appearance
228495 Skin Location
225718 Ultrasound (A-Line)
225180 PT Splint Status #1
224975 Surrounding Tissue #5
223773 PA Line cm Mark
229638 Discharge Recommendations (AM-PAC)
228993 Discharge NCP - Expected outcomes
226850 RV systolic pressure(PA Line)
228809 Pressure ulcer #7- Dressing status
227241 PAP Alarm Source
223983 LLE Color
229453 Exam-GI/GU
227673 Non-Violent Restraints Ordered
223873 Paw High
225565 Insertion kit used (A-Line)
224647 Orthostatic HR standing
224139 Dialysis Site Appearance
224451 Traction/Immobile #4
228842 Pressure ulcer #10- Tunneling present
226990 Apache IV PaFiRatio
220059 Pulmonary Artery Pressure systolic
227588 GI #1 Tube Place Method
224175 MDI #3 Puff
225588 Tube Secured (Intubation)
228580 Impaired Skin #5- Type
226540 Hematocrit (whole blood - calc)
227213 Vecuronium (Intubation)
227784 Impaired Skin - Dressing Status #5
228026 Arterial Line ordered on POE
227685 ZCentral Venous O2% Sat
225530 Transbronchial needle aspirate (Bronch)
228188 Change in Blood Color
229259 Flow Alarm (Lo) (RVAD)
229601 Arm Immobilizer
229386 Cerebellar - Finger -> Nose
228516 Impaired Skin #1- Type
229274 Oxygenator visible (ECMO)
225705 Hand cleansing prior to procedure (CVL)
223971 Angio Site # 2
225052 Cooling Device Status
225124 Unintentional weight loss >10 lbs.
228152 Aortic Pressure Signal - Systolic
227543 CO (Arterial)
229974 COVID NCP - Problem
228804 Pressure ulcer #2- Dressing status
224753 Temporary Atrial Sens Setting mV
224472 Indications (PA line)
225514 Type (Bronch)
229704 CP-Pain Management
228955 Coping/Knowledge Deficit NCP - Goal
229720 Ultrasound (PACath)
227629 Shivering
226989 APACHE IV main groups operative
227356 Sheath Line Dressing Occlusive
225236 16 Gauge Reason Discontinued
224419 Negative Insp. Force
228116 Sterile field maintained throughout procedure (PA line)
226188 Timeout Performed by (Intubation)
224582 Verification of (PICC)
224446 GI #3 Tube Drainage
227475 Incision Site #4
228744 Pressure ulcer #2- Surrounding tissue
228542 Pressure Ulcer #4- Treatment
228837 Pressure ulcer #5- Tunneling present
228445 Angio Appearance # 3
228439 Patient identified correctly (MBAL)
225072 Living situation
224515 Timeout performed by (PICC)
224106 Cooling Device
220181 Non Invasive Blood Pressure mean
228185 SVRI (PiCCO)
224921 Impaired Skin Length #7
223758 Code Status
226748 APACHEII-Renal failure
225032 Dressing Status #6
225987 IABP Power Source
228406 Motor R Arm
228554 Pressure Ulcer #6- Type
224671 Pupils
229170 SpecrecPOE (MBAL)
228219 Tandem Heart Return Cannula Dressing Occlusive
227605 Impaired Skin Odor #10
227922 Position - Activity - Aerobic Activity Response
224771 RLE Temp
227679 Restraint Device (Violent)
227648 Clots
224059 Braden Friction/Shear
226991 APACHEIII
224340 Side (CVL)
227759 PICC Line Placement Confirmed by X-ray
227881 Pain (0-10)
227022 LOS pre-ICU admission
223837 ETT Size (ID)
229100 Impaired Tissue Perfusion NCP - Plan revised
228990 Safety Restraints NCP - Outcomes met
228907 Altered Respiratory Status NCP - outcomes met
225501 Insertion kit used (PACEN)
228728 Pressure ulcer #6- Length
225007 Incision Closure #5
228241 Ammonia (Soft)_OLD_1
229832 ZzWaveform Variability (VAD)old
228736 Pressure ulcer #4- Wound Base
227517 Humidification
227581 BiPap bpm (S/T -Back up)
224670 Lacrimation
224478 Type of catheter (PA line)
224981 Tunneling Present #4
224188 PICC Line Site Appear
228709 Respiratory
220180 Non Invasive Blood Pressure diastolic
227585 GI Guaiac
227111 PCA dose units
225246 Fluid Removed (THCEN)
228407 Motor R Leg
223870 Wean
229719 Manometry Method (PACath)
229659 % Minute Volume
229678 Purge Solution Flow Rate (R)
224577 Side (PICC)
229374 AT (Antithrombin funct)
229301 GI #2 Tube Mark (CM)
228385 Chloride (serum) (soft)
222871 Mallampati classification (Intubation)
225780 Multi Lumen Dressing Type
224339 Guidewire exchange (CVL)
220046 Heart rate Alarm - High
225601 Hand cleansing prior to procedure (LP)
225112 Unable to assess pain
224162 Resp Alarm - Low
229036 Incision Appearance #10
225510 Patient (Bronch)
229713 Ultrasound Images printed (Aline)
226190 Hand Cleansing prior to procedure (Intubation)
229303 Speed (RPM) (HeartWare)
228805 Pressure ulcer #3- Dressing status
229145 Metabolic disturbance NCP - Interventions
225717 Guidewire (A-Line)
228738 Pressure ulcer #6- Wound Base
224392 ETT Position Change
225097 Balance
228513 Pressure Ulcer #8- Location
227984 Neuro Drain #2 Level
227005 Creatinine_ApacheIV
225764 Sheath Line Discontinued
228093 Follow-up X-RAY Ordered (THCEN)
227684 Safety Measures
223919 LU Strength/Movement
228268 FM Dx reviewed
229482 Hand cleansing prior to procedure (SBNET)
224876 Urine Appearance
229539 ICP - Camino marked
225714 Location (A-Line)
225741 Tunneled (Hickman) Line Discontinued
224909 Impaired Skin Drainage Amount #2
229258 Flow Alarm (Lo) (LVAD)
223992 Cough Type
227786 Impaired Skin - Dressing Status #7
227028 Non-Operative Hematology (HEMATO)
224166 Doppler BP
228110 APACHE IV diagnoses-2
229827 Mean BP (VAD)
228937 Post-op Care NCP - Interventions
223835 Inspired O2 Fraction
229311 Motor Current (mA) High
228089 Site cleansed with ChloraPrep (THCEN)
228008 14 G Infiltration Scale
225979 IABP Size
224040 Incision Closure #1
227964 Reason for Restraint (Violent)
229609 Ultrasound Images stored (CVL)
228975 Altered Mental Status NCP - Goal
227061 Ventilated at any time during ICU Day 1
226432 Drugs (Intubation)
224894 Impaired Skin Cleanse #8
229429 ROS-Heme / Lymph
228095 I was present during the above procedure and agree with the checklist (THCEN)
227018 HR_ApacheIV
224348 Patient identified correctly (CVL)
227040 Post-Operative Cardiovascular (CARDIOVASC)
227440 Digoxin
226104 Level of Consciousness
228576 Incision #6- Treatment
228572 Incision #2- Treatment
228265 FM Prehuddle
227681 Less Restrictive Measures_V1
224032 Impaired Skin Site #1
227458 Procan
225498 Timeout performed by (PACEN)
229240 P1 Alarm - High
226999 BiliScore_ApacheIV
225724 Cordis/Introducer Line Tip Cultured
229786 Preoxygenation (Intubation)
230069 Documented in DC Summary (Bronch)
229326 CAM-ICU MS Change
227670 Violent Restraints
228866 Plateau Pressure (IABP)
223924 RLE Sensation
228783 Pressure ulcer #1- Cleanse
224432 CT #3 Dressing
224941 Impaired Skin Treatment #6
229634 Daily Activity (AM-PAC)
227444 C Reactive Protein (CRP)
225312 ART BP Mean
228902 Altered Respiratory Status NCP - Expected outcomes
225285 Catheter repositioned (PICC)
225640 Differential-Eos
224192 Pulsus Paradoxus
225006 Incision Closure #4
229873 Emergency Equipment at bedside (CH)
225489 Site cleansed with ChloraPrep (THCEN)
226010 Number of operators (PACEN)
229665 Resistance Insp
224728 Peak Exp Flow Rate
225310 ART BP Diastolic
229562 Plan-Neuro
228107 Elective Postoperative Diagnoses
227725 AVA Line Discontinued
228939 Post-op Care NCP - Outcomes met
228768 Pressure ulcer #6- Drainage amount
229381 Orientation
223957 Pacer Rate
229825 High Watts Alarm (VAD)
227809 ETT Position Change
227652 Lochia Estimate
224070 Sitter
229387 Cerebellar - Heel -> Shin
228276 FM Prognosis reviewed
225760 RIC Site Appear
227448 Gentamicin (Peak)
229248 Pressure Drop
220063 Pulmonary Artery Pressure Alarm - High
224347 Timeout performed by (CVL)
227674 Face to Face Eval (Non-Violent)
228755 Pressure ulcer #3- Drainage
228214 Tandem Heart Access Line Site Appear
225593 Best Larynx View Obtained (Intubation)
228154 Flow Rate (Impella)
228208 Tandem Heart Access Line Dressing Occlusive
227946 Restraint Ordered (Non-violent)
227239 ABP Alarm Source
229337 Domestic Violence NCP - Expected outcomes
228762 Pressure ulcer #10- Drainage
229270 Flow (ECMO)
224259 Impaired Skin Drainage #1
229894 NPT 30 mattress pump in use
228732 Pressure ulcer #10- Length
227622 Tunneling Present #9
226535 ZPotassium (whole blood)
229483 Barrier precautions in place (SBNET)
226769 PHApacheIIValue
228024 Sterile field maintained throughout procedure (A-Line)
227345 Gait/Transferring
230036 Grunting
228876 HM II- Power
228763 Pressure ulcer #1- Drainage amount
226113 Multi Lumen placed in outside facility
224512 Insertion site (PICC)
228723 Pressure ulcer #1- Length
225978 Slope
220047 Heart Rate Alarm - Low
229042 Incision Closure #8
227008 Ejection Fraction
227583 Autoset/CPAP
230055 PNC-1 Motor Deficit
229045 Incision Drainage #7
227982 Neuro Drain #2 Status
223979 RLE Color
228962 Nutrition NCP - Expected outcomes
228916 Altered Skin Integrity NCP - outcomes met
227805 SvO2 SQI
226730 Height (cm)
224078 Education Handout
229247 Trans Membrane Pressure
227966 Face to Face Eval (Violent)
224450 Traction/Immobile #3
229724 Ultrasound Images probe covered (PACath)
224864 ZTrach Care
223766 Orthostatic BPs standing
224409 Pain Level Response
224692 Flow Pattern
229377 Part 1 Question
228025 Transparent dressing applied and dated (A-Line)_New
223996 CT #1 Drainage
229082 Rounds included
228389 Sodium (serum) (soft)
228041 Insertion kit used (PICC Line)
227943 Anticipated Discharge
226067 ZTobramycin (Random)
224850 Incision Drainage Amount #1
228735 Pressure ulcer #3- Wound Base
227100 Catheter insertion length (PICC)
223982 LUE Color
226443 Complications (LP)
229051 Incision Drainage Amount #9
228747 Pressure ulcer #5- Surrounding tissue
229196 Specrectolabby (Gen Proc)
226528 Verification of (A-Line)
229689 CPOT-Pain Assessment Method
223827 Ataxia
225597 Patient identified correctly (LP)
227832 UE Bathing
229768 Gooseflesh Skin (COWS)
227780 Impaired Skin - Dressing Status #1
224716 SBT Stopped
228895 Impaired Fluid Balance NCP - Goal
228198 Tandem Heart Flow
225506 Barrier precautions in place (PACEN)
229850 Pven (CH)
230074 Documented in DC Summary (LP)
229433 Systems reviewed
224726 O2 Consumption
228204 Tandem Heart Access Line Catheter Length
225607 Hand cleansing prior to procedure (PA Line)
220611 ZCortisol
228505 Impaired Skin #10- Location
225105 Unable to assess habits
227727 AVA Line placed in outside facility
227655 Reflexes UE
225774 CCO PAC Dressing Type
223759 Precautions: Standard +
228698 Abdominal - (GI / Hepatic / Renal)
227003 Chronic health on admission
229876 Pump plugged into RED outlet (CH)
224785 GI #1 Tube Type
225257 Lidocaine 1% (PACEN)
227368 20 Gauge Dressing Occlusive
228704 Neurological
228448 Angio Dressing # 4
224933 Impaired Skin Site #5
230085 Dialysate Fluid
224093 Position
220228 Hemoglobin
229629 PAP Alarm Source (Veletri)
228043 Site cleaned with ChloraPrep(TM) (PICC)
223946 Popliteal Pulse L
225196 PT Splint Status #4
224796 Ostomy
225117 Unable to assess nutrition / education
228912 Altered Skin Integrity NCP - Goal
226137 18 Gauge placed in outside facility
229255 Flow (RVAD)
228499 Impaired Skin #4- Location
228845 Pressure ulcer #3- Undermining present
226457 Ultrafiltrate Output
228853 Impaired Skin #1- Type
229660 RCexp (Measured Time Constant)
228068 Bougie (Intubation)
224438 Chest Tube Site # 2
224380 Neuro Waveform Appearance
226860 RA %O2 Saturation (PA Line)
229848 Pven Alarm (Lo) (CH)
228806 Pressure ulcer #4- Dressing status
224336 Type of catheter (CVL)
228914 Altered Skin Integrity NCP - Interventions
228582 Impaired Skin #7- Type
225307 Oral ETT
226169 Subglottal Suctioning
229098 Impaired Fluid Balance NCP - Plan revised
223772 SvO2
228973 Altered Mental Status NCP - Expected outcomes
229844 Flow Alarm (Lo) (CH)
225538 Barrier precautions in place (Bronch)
229710 Ultrasound (Aline)
229378 Part 2 Question
226750 Chronic Dilaysis
228344 OCAT - Saliva secretions, Voice quality
227369 22 Gauge Dressing Occlusive
224971 Pressure Ulcer Stage #8
224674 Changes in Temperature
228117 Thermodilution (PA line)
224812 CT #4 Suction Type
227870 Recovery HR - Aerobic Capacity
227603 Impaired Skin Length #10
229005 Self harm NCP - Outcomes met
225262 Fluid removed description (PACEN)
224860 Skin Condition
227761 Sheath Placement Confirmed by X-ray
229136 Substance withdrawal NCP - Expected outcomes
227686 Central Venous O2% Sat
225342 IABP Zero/Calibrate
228077 Dressing applied and dated (LP)
228006 Post Filter Replacement Rate
229187 Specreclabeled (LP)
224676 Nausea and Vomiting (CINA)
228146 ABI Brachial BP R
227774 Traction/Immobile #4
220274 PH (Venous)
229588 Ultrasound Images Interpreted and Stored (CVL)
227646 Breast Feed - R (Minutes)
229993 Vaporizer filled (Anes)
230041 Restlessness.
225054 Anti Embolic Device Status
229718 Manometry (PACath)
228122 Follow-up X-RAYordered (PA Line)
228959 Coping/Knowledge Deficit NCP - outcomes met
228889 Pain NCP - Outcomes met
229535 Line Type
228240 D-Dimer (SOFT)
229669 Pulmonary Atrtery Pressure Signal - Systolic
229261 Flow Sensor repositioned (RVAD)
228368 Cardiac Index (CI NICOM)
224730 Corneal Reflex Right
228585 Impaired Skin #10- Type
220632 LDH
229087 Critically ill
226861 ART %O2 saturation (PA Line)
229372 AT ( Antithrombin funct)
228953 Coping/Knowledge Deficit NCP - Expected outcomes
227789 Impaired Skin - Dressing Status #10
224080 Head of Bed
227950 Restraint Location
229712 Ultrasound Images interpreted (Aline)
227990 Intra Cranial Pressure #2 Alarm - High
224946 Impaired Skin Type #4
228061 Photodynamic therapy PDT (Bronch)
227631 Arctic Sun Temp #2 Location
227617 Impaired Skin Wound Base #10
226009 Dressing applied and dated (THCEN)
228560 Incision #2- Location
228695 Lines/Tubes_OLD_1
227678 Restraint Device (Non-Violent)
229102 Infection NCP - Plan revised
227776 Skeletal Traction #2 - Pounds
228729 Pressure ulcer #7- Length
225750 Trauma Line Discontinued
225090 Interpreter
224191 Hourly Patient Fluid Removal
229847 SvO2 Alarm (Lo) (CH)
224919 Impaired Skin Length #5
227625 Undermining Present #10
228478 Number of Attempts (Gen Proc)
224605 Fick (PA line)
226776 SodiumApacheIIValue
229502 MDnoteConsent
225261 Fluid removed (PACEN)
229481 Verification of (SBNET)
228057 Brushings (Bronch)
227442 Potassium (serum)
228867 Assist Device
224152 Return Pressure
229828 Pulsatility Index (VAD)
223972 Angio Appearance # 2
229980 COVID NCP - Problem resolved
230052 PNC-1 Location
228309 GI #2 Tube Place Check
227754 IABP Placement Confirmed by X-ray
228897 Impaired Fluid Balance NCP - Outcomes met
228506 Pressure Ulcer #1- Location
225531 Conscious sedation used (Bronch)
225596 Timeout Performed by (LP)
224297 Cordis/Introducer Site Appear
229003 Self harm NCP - Interventions
227591 Neuro Drain Landmark
227846 Supine / Side-lying to Sit
229538 PICC - Heparin Dependent
229039 Incision #9- Dressing Status
224901 Impaired Skin Depth #8
227608 Impaired Skin Treatment #9
226512 Admission Weight (Kg)
223968 Angio Appearance # 1
229186 Specrecbyhand (LP)
226184 Estimated Protein Needs/Kg
225192 Collar Care
225280 Called Out
223877 ZCath Lab Intake
227351 PA Catheter Dressing Occlusive
228148 ABI Ankle BP R (Impella)
227060 Use A-aDO2
224707 T High (APRV)
228579 Impaired Skin #4- Type
225989 Pericardial Drain Aspiration
224417 Cuff Pressure
228757 Pressure ulcer #5- Drainage
227777 Skeletal Traction #3 - Pounds
223771 PCWP
229774 Tremor (COWS)
226259 ZOn Pressors
227464 Potassium (whole blood)
224888 Impaired Skin Cleanse #2
225331 Tunneled (Hickman) Site Appear
226166 No Complications (Intubation)
224961 Impaired Skin Wound Base #5
223792 Pain Management
229895 Low Speed Limit (VAD)
229552 Avalon Line Discontinued
227471 Specific Gravity (urine)
225632 ZCK-MB
224781 CT #4 Leak
228290 IO Dressing
228772 Pressure ulcer #10- Drainage amount
224794 Stool Color
226109 Cordis/Introducer placed in outside facility
228119 Depth at which wedge obtained (PA Line)
225371 Pheresis Catheter Site Appear
229846 Sweep (CH)
228596 Incision #3- Dressing Status
227845 Rolling
226893 Coefficient Hospital Mortality
229495 The Attending/Supervisor is the Clinician Operator (SBNET)
229037 Incision #7- Dressing Status
226115 PICC Line placed in outside facility
229020 Incision #8- Cleanse
226749 ChpApacheIIScore
224967 Pressure Ulcer Stage #4
224063 Restraint Type
229503 Trendelenburg position during insertion (CVL)
224675 Muscle Aches
224441 GI #2 Intub Site
225587 Bougie (Intubation)
224892 Impaired Skin Cleanse #6
229548 EKOS Position
223847 Passey Muir Valve in use
223942 Graft/Flap Pulse
224735 Flow Rate (variable/fixed)
230058 PNC-2 Infusion Rate (mL/hr)
225743 Midline Discontinued
228626 Pressure Ulcer #7- Width
229636 Test Performed (AM-PAC)
229819 Backup Controller (VAD)
224310 Augmented Diastole
225532 Photodynamic therapy PDT (Bronch)
224646 Orthostatic BPs sitting
229600 CAUTI Info Given
227045 Post-Operative Musculoskeletal/Skin (MUSKELSKIN)
227210 Propofol (Intubation)
224856 Restraints Ordered
224151 Effluent Pressure
227363 ICP Line Dressing Occlusive
227980 Intra Aortic Balloon Pump Setting
228456 Location (Gen Proc)
223783 Pain Location
224391 ETT Mark (location)
228583 Impaired Skin #8- Type
228447 Angio Dressing # 3
229357 Absolute Count - Neuts
228118 Fick (PA line)
224042 Incision Dressing #1
228100 20 Gauge placed in the field
228190 Infusate Drops/Minute
225573 Transparent dressing applied and dated (A-Line)
225540 Patient identified correctly (Bronch)
228465 Timeout Performed By (Gen Proc)
224686 Tidal Volume (spontaneous)
229879 Cannula sites visually inspected (CH)
224170 MDI #1 Drug
224498 Amount of fluid removed (LP)
224453 Traction/Immobile Location #3
227612 Impaired Skin Type #9
229148 Metabolic disturbance NCP - Problem resolved
228787 Pressure ulcer #5- Cleanse
224119 22 Gauge Site Appear
228859 Impaired Skin #7- Type
229032 HEENT
229115 Sensory disturbance NCP - Problem resolved
229553 Avalon Line Site Appear
229118 Sensory disturbance NCP - Interventions
227624 Undermining Present #9
225087 Visual / hearing deficit
224105 Warming Device
224966 Pressure Ulcer Stage #3
223849 Ventilator Mode
227666 Immobilizer Location
224701 PSV Level
229661 Compliance
224404 ART Lumen Volume
228750 Pressure ulcer #8- Surrounding tissue
224972 Surrounding Tissue #2
223943 Dorsal PedPulse L
220050 Arterial Blood Pressure systolic
224789 GI #2 Tube Status
229361 Absolute Count - Basos
228109 APACHE IV diagnoses
225729 Multi Lumen Line Tip Cultured
220194 Temporary AV interval
225024 Incision Dressing #3
225722 Arterial Line Tip Cultured
224012 Stool Management
227858 Rest HR - Aerobic Capacity
225679 ZProcan
224908 Impaired Skin Drainage #8
227004 ChronicScore_ApacheIV
228612 Pressure Ulcer #3- Depth
229726 Ultrasound Images uploaded (PACath)
230050 PNC-1 Bolus (mL)
223966 Transcutaneous Pacer Placement
223797 Sensory Level
229813 Reason for Trigger (RN)
227002 CABG Patient
229765 Anxiety/Irritability (COWS)
224830 Trach Tube Manufacturer
224806 CT #1 Suction Type
224113 Traction/Immobile Location #1
224077 Education Method
229122 Elimination NCP - Problem resolved
225283 Hand Cleansing Prior to Procedure (PICC)
228017 RIC Phlebitis Scale
229705 CP-Pain Assessment Method
224422 Spont RR
229305 Power (Watts) (HeartWare)
229272 Flow Alarm (Lo) (ECMO)
228429 Critical Proc Steps (MBAL)
228401 Pronator Drift
228622 Pressure Ulcer #3- Width
224331 PCA basal rate (mL/hour)
229133 Elimination NCP - Expected outcomes
226744 APACHE II PDR - Adjusted
226534 Sodium (whole blood)
229985 Machine checked (Anes)
228770 Pressure ulcer #8- Drainage amount
224917 Impaired Skin Length #3
228446 Angio Appearance # 4
228149 ABI Brachial BP L (Impella)
225015 Incision Drainage #4
229568 Plan-Hematology
228690 DVT Prophy_OLD_1
224920 Impaired Skin Length #6
228568 Incision #4- Cleanse
229421 ROS-General
229235 Brain Tissue Oxygenation
224846 Impaired Skin Width #1
226998 Bilirubin_ApacheIV
228466 Patient Identified Correctly (Gen Proc)
227030 Non-Operative Musculoskeletal/Skin (MUSKELSKIN)
224291 Arterial line Waveform Appear
224666 Nasal Congestion
220061 Pulmonary Artery Pressure mean
229129 Altered Sensory Perception NCP - Problem resolved
228022 Replaced previous Arterial line over wire
225091 Unable to assess activity / mobility
228977 Altered Mental Status NCP - Interventions
223969 Transcutaneous Pacer Rate
229167 Specrectolabbyother (Bronch)_OLD_1
228463 Acuity (Gen Proc)
227614 Impaired Skin Width #9
224013 Stool Guaiac
220545 Hematocrit (serum)
223814 Auditory Disturbance
225486 Hand cleansing prior to procedure (THCEN)
224801 AV Fistula R Thrill
224457 PT Splint Location #3
227521 KCL Bolus)
224372 Sputum Source
223941 Popliteal Pulse R
229664 Resistance Exp
229022 Incision #10- Cleanse
220645 Sodium (serum)
229835 Waveform Trough (VAD)
227044 Post-Operative Metabolic/Endocrine (METAB/ENDO)
225732 PICC Line Tip Cultured
229424 ROS-Cardiac
224289 Arterial line Site Appear
223828 Slurred Speech
227463 Cortisol
228578 Impaired Skin #3- Type
224977 Surrounding Tissue #7
224929 Impaired Skin Odor #8
228710 Sedation goal
229092 Altered Skin Integrity NCP - Plan revised
229049 Incision Drainage Amount #7
229875 Oxygenator visible (CH)
229831 System power module and self test (VAD)
227850 Commode
227717 Cerebral Perfusion Pressure Alarm - Low
224421 Spont Vt
230060 PNC-2 Medication
224068 Restraints Evaluated_V1
225000 Incision Cleansing #4
224025 Spiritual Support
224440 Chest Tube Site #4
227063 WBCScore_ApacheIV
225516 Location (Bronch)
224066 Position Change
229256 Flow Alarm (Hi) (LVAD)
224390 Temporary Atrial Sens
227763 Triple Introducer Placement Confirmed by X-ray
224146 System Integrity
224073 Education Topic
225108 Tobacco use
228854 Impaired Skin #2- Type
228123 The Attending/Supervisor is the Clinical Operator (PA Line)
224939 Impaired Skin Treatment #4
225528 Brushings (Bronch)
228194 Peripheral Pulses (Tandem Heart)
224808 CT #2 Suction Type
229823 Flow (VAD)
228033 Site cleaned with ChloraPrep(TM) (CVL)
229344 Impaired Mobility NCP - Expected outcomes
229791 Estimated Blood Loss (GenProc)
223985 Respiratory Pattern
223795 Pain Assessment Method
228037 Follow-up chest X-RAY ordered (CVL)
227849 Toilet
225990 Pericardial Drain Flush
227723 AVA Dressing Occlusive
228986 Safety Restraints NCP - Goal
225810 Dwell Time (Peritoneal Dialysis)
225513 Route (Bronch)
224743 Vd/Vt Ratio
229470 24 Gauge Dressing Occlusive
223949 Ulnar Pulse L
229452 Exam-Neuro
227728 AVA Line Site Appear
229476 PICC Line Power PICC
220650 Total Protein
229168 Specrecbyhand (MBAL)
228111 Readmission
229257 Flow Alarm (Hi) (RVAD)
229192 Specrecbyhand (Gen Proc)
228707 Progress
229607 Ultrasound Images used for preproc assess (CVL)
229349 Impaired Mobility NCP - Problem resolved
226980 AgeScore_ApacheIV
229702 Pain Level Response-b
228737 Pressure ulcer #5- Wound Base
223960 Temporary Venticular Stim Threshold mA
227954 Status and Comfort
229327 Activity Intolerance NCP - Expected outcomes
228114 Hand cleansing prior to procedure (PA Line)
224717 SBT Successfully Completed
228628 Pressure Ulcer #9- Width
224618 Patient identified correctly (PA line)
224135 Dialysis Access Site
229690 CPOT-Pain Assessment Method-Post
229356 Differential - Immature Granulocytes
225120 Appetite
223818 Tactile Disturbances
228227 Tandem Heart Return Cannula Size
225491 Patient identified correctly by 2 means (THCEN)
228180 GEDI (PiCCO)
227680 Restraint Location_V2
224418 Cuff Volume (mL)
225634 CK (CPK)
229276 Suction events (ECMO)
229676 Placement Monitoring Screen (R)
224788 GI #2 Tube Type
229626 Pulmonary Artery Pressure Alarm - High (Veletri)
224437 CT #4 Suction Amount
227813 Medication Bolus - Adjunctive Pain Management
226063 Venous O2 Pressure
228460 Indication (Gen Proc)
229150 Palliative Care NCP - Expected outcomes
227634 Arctic Sun/Alsius Temp #2 C
224902 Impaired Skin Drainage #2
229250 Cannula sites visually inspected (LVAD)
224765 Neuro Drain Head of Bed
226164 Sterile field maintained throughout procedure (A-Line)
224911 Impaired Skin Drainage Amount #4
225676 ZPhenobarbital
224803 AV Fistula L Bruit
229540 Sheath Type
229027 Constitutional
228748 Pressure ulcer #6- Surrounding tissue
227851 Shower / Tub
229696 CPOT-Body Movements (CPOTb)
228644 Barrier precautions in place (LP)
228402 Neurological Symptoms
229355 Absolute Neutrophil Count
223955 Temporary Pacemaker Type
228210 Tandem Heart Access Line Position
225004 Incision Closure #2
225070 Unable to assess psychological
225777 Tunneled (Hickman) Dressing Type
228012 18 G Infiltration Scale
227445 CK-MB
224978 Surrounding Tissue #8
229863 Forehead Sensor Position Changed
227645 Breast Feed - L (Minutes)
226007 Number of operators (PA line)
225357 PA Catheter Waveform Appear
223872 Inspired Gas Temp.
227342 Secondary diagnosis
225233 18 Gauge Reason Discontinued
228369 Cardiac Output (CO NICOM)
228153 Dual Signal Screen
223881 ZGU Irrigant Intake
227665 Immobilizer Evaluated
225782 Pheresis Catheter Dressing Type
227925 Activity RR - Aerobic Activity Response
228758 Pressure ulcer #6- Drainage
225647 PA line ordered on POE
224004 Bowel Sounds
229897 Cardiac Output (CO) (Impella)
224960 Impaired Skin Wound Base #4
224085 Assistance Device
227960 Patient/Family Informed
227604 Impaired Skin Odor #9
227359 Tunneled (Hickman) Dressing Occlusive
226762 HematocritApacheIIValue
224443 GI #2 Tube Place Check
229662 Pminimum
228741 Pressure ulcer #9- Wound Base
225029 Dressing Status #3
224503 Patient (THCEN)
229606 Manometry Method
224943 Impaired Skin Treatment #8
229394 SF Ratio Value
228708 Renal
228475 Side (Gen Proc)
227565 Ventilator Tank #1
227597 Impaired Skin Depth #10
226272 EF (CCO)
225659 Freeform Enzymes
229147 Metabolic disturbance NCP - Plan revised
226765 MapApacheIIScore
223761 Temperature Fahrenheit
225767 Sheath Site Appear
225698 TCO2 (calc) Arterial
228536 Impaired Skin #8- Treatment
228334 CAM-ICU Altered LOC
227654 Reflexes LE
228337 CAM-ICU MS Change
226005 Sterile field maintained throughout procedure (CVL)
225768 Sheath Line Tip Cultured
229160 Timespent
225487 Barrier precautions in place (THCEN)
228766 Pressure ulcer #4- Drainage amount
228548 Pressure Ulcer #10- Treatment
228226 Tandem Heart Return Cannula Site Appear
229254 Flow (LVAD)
228743 Pressure ulcer #1- Surrounding tissue
220051 Arterial Blood Pressure diastolic
228697 Mobilization Plan
225256 Insertion site prepped and draped (PACEN)
224027 Skin Temperature
230049 PNC-1 Appearance
228609 Impaired Skin #10- Dressing Status
224944 Impaired Skin Type #2
224410 PCA bolus
228822 Pressure ulcer #10- Stage
223848 Ventilator Type
227607 Impaired Skin Site #10
225651 Direct Bilirubin
224927 Impaired Skin Odor #6
226739 AgeApacheIIValue
227630 Arctic Sun Temp #1 Location
228483 Follow Up Xray (Gen Proc)
228306 Assistance Device
228069 Tube Secured (Intubation)
227615 Impaired Skin Width #10
224281 Multi Lumen Site Appear
229745 Cognitive Aid Card
220602 Chloride (serum)
228055 Bronchoalveolar lavage (BAL) / washing (Bronch
225779 Midline Dressing Type
227764 Tunneled (Hickman) Placement Confirmed by X-ray
225536 Hand cleansing prior to procedure (Bronch)
225003 Incision Closure #6
228071 I was present during the above procedure and agree with the checklist (Intubation)
228843 Pressure ulcer #1- Undermining present
228056 Endobronchial ultrasound (EBUS) (Bronch)
229030 Incision #9- Treatment
229325 CAM-ICU Inattention
226853 PA diastolic pressure(PA Line)
225001 Incision Cleansing #5
227465 Prothrombin time
227287 O2 Flow (additional cannula)
229163 Specreclabeled (Bronch)
228603 Impaired Skin #4- Dressing Status
228031 Insertion kit used (CVL)
226849 RA (mean) pressure (PA Line)
224797 Ostomy Appearance
227981 Neuro Drain #2 Type
224688 Respiratory Rate (Set)
228097 14 Gauge placed in the field
220052 Arterial Blood Pressure mean
227985 Neuro Drain #1 Landmark
228625 Pressure Ulcer #6- Width
227834 LE Bathing
227664 Immobilizer Device
228836 Pressure ulcer #4- Tunneling present
224058 Braden Nutrition
225050 Warming Device Status
227473 Incision Site #2
224907 Impaired Skin Drainage #7
224826 ZHCO3 (serum)
226504 Phenytoin (Free)
229680 Impella Line Type
225339 IABP Site Appear
228441 Barrier precautions in place (MBAL)
227967 Restraint/Seclusion Observer Sheet
228776 Pressure ulcer #4- Odor
220058 Arterial Blood Pressure Alarm - High
228745 Pressure ulcer #3- Surrounding tissue
228108 Emergency Postoperative Diagnoses
223963 Temporary Pacemaker Wires Ground
230073 Documented in DC Summary (Intub)
229120 Sensory disturbance NCP - Expected outcomes
225785 Presep Catheter Dressing Type
227050 RR_ApacheIV
228058 Transbronchial biopsy (Bronch)
228192 Oxygenator Sweep Rate
226170 Head of Bed Measurement
225735 Trauma Line Tip Cultured
220073 Central Venous Pressure Alarm - Low
229017 Incision #9- Location
224738 Inspiratory Time
229079 Pain Controlled
229134 Elimination NCP - Interventions
228869 HM II- Perc Lock fully engaged
228684 Abdominal - (GI / Hepatic)_OLD_1
228964 Nutrition NCP - Goal
228532 Impaired Skin #4- Treatment
228322 PC Interpreter present
224950 Impaired Skin Type #8
223794 Pain Level Acceptable
224983 Tunneling Present #6
229188 SpecrecPOE (LP)
225030 Dressing Status #4
228539 Pressure Ulcer #1- Treatment
229265 Suction events (RVAD)
228840 Pressure ulcer #8- Tunneling present
227783 Impaired Skin - Dressing Status #4
229262 Speed (LVAD)
229727 Ultrasound Images used for preproc assess (PACath)
229610 Ultrasound Images printed (CVL)
226429 ETT Type (Intubation)
227810 ETT Re-taped
220227 Arterial O2 Saturation
228183 SVRI (PiCCO)_OLD_1
220587 AST
226988 APACHE IV main groups non-operative
227649 Fundus Character
230053 PNC-1 Medication
229152 Palliative Care NCP - Interventions
228820 Pressure ulcer #8- Stage
228164 Impella Catheter Site
223932 Neuro Drain #1 Drainage
223782 Pain Type
228647 Barrier precautions in place (A-Line)
225667 Ionized Calcium
225182 PT Splint Status #2
229031 Incision #10- Treatment
223834 O2 Flow
224604 Thermodilution (PA line)
227835 UE Dressing
228336 CAM-ICU Inattention
226105 Behavior
228619 Pressure Ulcer #10- Depth
224700 Total PEEP Level
229625 Patient on Veletri
227418 Midline Dressing Occlusive
229792 Estimated Blood Loss (Intub)
229677 Purge Pressure (R)
229243 Neuro Mon Line Type
227066 Cerebral Perfusion Pressure
229790 Estimated Blood Loss (Bronch)
228302 CAM-ICU RASS LOC
225045 Incision Packing #4
224069 Side Rails_V1
228620 Pressure Ulcer #1- Width
228552 Pressure Ulcer #4- Type
224912 Impaired Skin Drainage Amount #5
224153 Replacement Rate
228412 Strength R Arm
229455 Exam-Skin
227428 SOFA Score
224752 Temporary Atrial Sens Threshold mV
228279 FM Spirit/cultural
224991 Undermining Present #7
229479 Timeout performed by (SBNET)
228719 Vented
225304 Blade / Equipment (Intubation)
228812 Pressure ulcer #10- Dressing status
225645 ZPhenytoin (Dilantin)
224709 T Low (APRV)
226127 ICP Line Dressing Type
228308 GI #1 Tube Place Method
228305 ST Segment Monitoring On
227453 Vancomycin (Peak)
224834 Temporary Ventricular Sens
228979 Altered Mental Status NCP - outcomes met
230083 Replacement Fluid (Pre-Filter)
228195 Pump Speed
225187 Back Care
224762 LLE Sensation
224893 Impaired Skin Cleanse #7
228270 FM ICU-Hosp duration
228271 FM Intepreter present
224924 Impaired Skin Odor #3
229633 Basic Mobility (AM-PAC)
225556 Replaced previous Arterial line over wire
226997 ARF
227580 BiPap IPAP
229656 Stroke NCP - Water Swallow Deferred
229747 Attending Notified
229742 Activity / Mobility (RN Daily Mobility Goal)
228400 Visual Field Cut
224172 MDI #2 Puff
228781 Pressure ulcer #9- Odor
229266 Cannula sites visually inspected (ECMO)
228476 With Ultrasound (Gen Proc)
228570 Incision #6- Cleanse
228518 Impaired Skin #1- Cleanse
223944 Brachial Pulse L
225751 Triple Introducer Discontinued
228158 Purge Pressure
225490 Timeout Performed by (THCEN)
229432 ROS-Psych
224923 Impaired Skin Odor #2
225684 Serum Osmolality
229029 Incision #8- Treatment
225628 CK-MB fraction (%)
228819 Pressure ulcer #7- Stage
224161 Resp Alarm - High
224713 Circuit Changed
229406 PFImputedValue
227872 Recovery RR - Aerobic Capacity
228945 Infection NCP - Goal
228849 Pressure ulcer #7- Undermining present
224995 Incision Appearance #4
227601 Impaired Skin Drainage Amount #10
229797 Estimated Blood Loss (PICC)
227460 Phenobarbital
227671 Non-Violent Restraints
228438 Timeout performed by (MBAL)
228600 Impaired Skin #1- Dressing Status
225294 Mouth Opening (Intubation)
229671 Flow Rate (Impella) (R)
225398 Triple Introducer Zero/Calibrate
220218 Vital Capacity
225602 Barrier precautions in place (LP)
223993 Chest Tube Site # 1
226162 Sterile field maintained throughout procedure (PA line)
228740 Pressure ulcer #8- Wound Base
225749 Presep Catheter Discontinued
229019 Incision #7- Cleanse
225254 Indication (PACEN)
227961 Side Rails
224915 Impaired Skin Drainage Amount #8
220635 Magnesium
228779 Pressure ulcer #7- Odor
228517 Skin Cleanse
227627 Arctic Sun/Alsius Set Temp
225567 Hand cleansing prior to procedure (A-Line)
227441 LDL measured
225110 Recreational drug use
225113 Currently experiencing pain
229408 PFImputedRatio_Value
220644 ALT
224997 Incision Appearance #6
228507 Pressure Ulcer #2- Location
228756 Pressure ulcer #4- Drainage
228225 Tandem Heart Return Cannula Site
228189 CO-Tandem Heart Flow
227348 Low risk (25-50) interventions
225630 Ultrasound (PA line)
228742 Pressure ulcer #10- Wound Base
227683 Restraint/Seclusion Observer Sheet
224328 PCA dose
228199 Type (Tandem Heart)
226753 DswfApacheScore
229560 Cardiac Assist Cannula Position
224639 Daily Weight
230072 Documented on DC Summary (GenProc)
226524 Complications (A-Line)
229035 Incision Appearance #9
228080 Insertion kit used (PACEN)
220739 GCS - Eye Opening
229197 Specrectolabbyother (Gen Proc)old
228771 Pressure ulcer #9- Drainage amount
226741 APACHE II Diagnosistic weight factors - Surgical emergency
220293 Minute Volume Alarm - High
223989 LLL Lung Sounds
220245 CO2 production
224792 GI #3 Tube Status
224086 Activity Tolerance
228176 CFI (PiCCO)
224804 AV Fistula L Thrill
229833 ZzWaveform Variability (VAD)
229111 Safety Restraints NCP - Problem resolved
227468 Fibrinogen
226742 APACHE II Diagnosistic weight factors - Surgical
227519 Urine output_ApacheIV
228469 Site Cleansed With ChloraPrep (Gen Proc)
224996 Incision Appearance #5
225733 Indwelling Port (PortaCath) Line Tip Cultured
224315 ABI Brachial BP L
228052 Topical Lidocaine used (Bronch)
227788 Impaired Skin - Dressing Status #9
225044 Incision Packing #3
229611 Ultrasound Images uploaded (CVL)
229422 ROS-HEENT
229698 CPOT-Facial Expression (CPOTb)
229648 Stroke NCP - Problem resolved
224091 Continuous Pressure Machine Status
228260 FM Pt Preferences
224007 GI #1 Intub Site
227959 Restraints Evaluated
227439 Indwelling Port (PortaCath) placed in outside facility
226780 WBCApacheIIValue
228318 Shivering Assessment
226112 Midline placed in outside facility
229323 Current Dyspnea Assessment
225671 LDL calculated
228731 Pressure ulcer #9- Length
225692 Total Granulocyte Count (TGC)
229385 Shoulder Shrug
228856 Impaired Skin #4- Type
227469 Thrombin
224037 Impaired Skin Cleanse #1
228778 Pressure ulcer #6- Odor
223751 Non-Invasive Blood Pressure Alarm - High
224490 Site cleansed with ChloraPrep(TM) (LP)
227650 Fundus Location (Breadth)
226138 20 Gauge placed in outside facility
228405 Motor L Leg
225021 Incision Drainage Amount #5
227991 Intra Cranial Pressure #2 Alarm - Low
229292 GI Prophy
228623 Pressure Ulcer #4- Width
224747 Transpulmonary Pressure (Insp. Hold)
229291 Prophylaxis
224571 Guidewire exchange (PICC)
224349 Verification of (CVL)
223753 Riker-SAS Scale
228332 Delirium assessment
225255 Ultrasound (PACEN)
228178 CO (PiCCO)
224619 Verification of (PA line)
229534 Multi Lumen - Obturator in place
225736 Triple Introducer Line Tip Cultured
224748 Cont Neb - Dose (mg/hr/drug)
224696 Plateau Pressure
228607 Impaired Skin #8- Dressing Status
228384 Number of days (CVL)
224669 Restlessness
224506 Conscious sedation (THCEN)
227015 Glucose_ApacheIV
227021 Intubated_ApacheIV
224712 Recruitment Mode
229393 PF Ratio Value
229699 CPOT-Facial Expression (CPOTa)
229558 Cardiac Assist Cannula Discontinued
227419 Presep Catheter Dressing Occlusive
229837 Other Imaging Reviewed in OMR
229015 Incision #7- Location
225133 Discharge needs
228298 Daily Wake Up
229570 Plan-ID
228335 CAM-ICU Disorganized thinking
223802 Nerve Stimulated
228078 The Attending/Supervisor is the Clinician Operator (LP)
226183 Estimated Energy Needs/Kg
228871 HM II- Backup Cont in room with pt settings
225693 Triglyceride
225309 ART BP Systolic
228852 Pressure ulcer #10- Undermining present
227130 Trach Care
228046 PICC Ordered on POE
227055 TempScore_ApacheIV
224842 Cardiac Output (CCO)
227623 Tunneling Present #10
225981 IABP Alarms Activated
224089 Anti Embolic Device
229688 Pain Assessment Method (BIS)
225296 Mandibular Prognatism (Intubation)
229239 FiO2 Challenge Result
224750 Nitric Oxide Tank Pressure
228373 Passive Leg Raise Performed
228468 Hand Cleansing (Gen Proc)
229375 UF Heparin (Anti-Xa)
225770 Sheath Waveform Appear
228159 Purge Solution Flow Rate
228092 Dressing applied and dated (THCEN)
226226 Enteral Nutriton Residuals
224082 Turn
224308 Capillary Refill L
228811 Pressure ulcer #9- Dressing status
224865 Flow Sensitivity
228013 20 G Phlebitis Scale
227131 Cont. Neb Med Dose
228534 Impaired Skin #6- Treatment
227918 Rest RR - Aerobic Activity Response
227867 Activity O2 Sat - Aerobic Capacity
228773 Pressure ulcer #1- Odor
228701 Hematological / Skin
228391 Ammonia (SOFT)
224415 ETT Mark (cm)
226473 Blood Transfusion Consent
227000 BUN_ApacheIV
226746 ApacheII chronic health
228005 PBP (Prefilter) Replacement Rate
227675 Face to Face Eval (Violent)
225295 Thyromental Distance (Intubation)
227598 Impaired Skin Drainage #9
228050 I was present during the above procedure and agree with the checklist (PICC)
225231 20 Gauge Site Appear
228890 Pain NCP - Interventions
229155 Palliative Care NCP - Problem resolved
229679 Type of Catheter (Impella)
226862 PA %O2 Saturation (PA Line)
229175 Specreclabeled (PACEN)
224720 Arrythmia
223953 Pericardial Drain Drainage
224009 GI #1 Tube Drainage
226239 Number of operators (PICC)
227730 AVA Waveform Appearance
228688 Delirium
227429 Troponin-T
225636 D-Dimer
225608 Insertion kit used (PA line)
224953 Impaired Skin Width #4
224411 Epidural Bolus (mL)
230068 Documented in DC Summary (Bronch)_OLD_1
229866 Checklist
224999 Incision Cleansing #3
228515 Pressure Ulcer #10- Location
224424 CT #2 Drainage
228491 Clinical Operator (Gen Proc)
226064 ZVancomycin (Trough)
229725 Ultrasound Images stored (PACath)
224420 Vital Cap
229383 Extraocular Movements
229094 Coping/Knowledge Deficit NCP - Plan revised
227772 Traction/Immobile #2
229099 Impaired Fluid Balance NCP - Problem resolved
228844 Pressure ulcer #2- Undermining present
224963 Impaired Skin Wound Base #7
228898 Impaired Fluid Balance NCP - Interventions
228173 Impella Position
228702 Lines/Tubes
225101 Use of assistive devices
224439 Chest Tube Site #3
228156 Performance Level
229359 Absolute Count - Monos
228072 Hand cleansing prior to procedure (LP)
228312 GI #3 Tube Place Method
225210 Arterial Line Zero/Calibrate
224898 Impaired Skin Depth #5
224496 Entry site (LP)
226778 TempApacheIIValue
228692 Glucose Control - Prophy
227830 Self Feeding
225609 Site cleaned with ChloraPrep(TM) (PA line)
224851 Dressing Status #1
229307 Low Flow Alarm (HeartWare)
228501 Impaired Skin #6- Location
229872 Flutter Valve
225308 Nasal ETT
224697 Mean Airway Pressure
229288 Nutrition
227438 Volume not removed
220640 ZPotassium (serum)
225622 ZBrain Natiuretic Peptide (BNP)
228597 Incision #4- Dressing Status
225643 Differential-Neuts
229859 Power (Watts) (VAD)
229992 Filters changed (Anes)
228562 Incision #4- Location
229693 Vocalization (CPOTb)_OLD_1
227636 Knee Location - CPM
224651 Ectopy Frequency 1
224055 Braden Moisture
223952 Pericardial Drain Status
223931 Neuro Drain #1 Status
228328 PC Source of assessment data
228310 GI #2 Tube Place Method
229260 Flow Sensor repositioned (LVAD)
227121 Pupil Response Right
229716 Ultrasound Images uploaded (Aline)
225046 Incision Packing #5
224969 Pressure Ulcer Stage #6
227632 Arctic Sun/Alsius Temp #1 C
229173 Specrectolabbyother (MBAL)old
224176 MDI #3 Drug
228079 I was present during the above procedure and agree with the checklist (LP)
227006 CreatScore_ApacheIV