Code | Display |
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 |