eICU Collaborative Research Database Demo 2.0.1
File:
(1,099,631 bytes)
nurseassessid | patientunitstayid | nurseassessoffset | nurseassessentryoffset | cellattributepath | celllabel | cellattribute | cellattributevalue |
---|---|---|---|---|---|---|---|
57436984 | 1054428 | 13791 | 13819 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | generalized |
57483728 | 1036759 | 4075 | 4076 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | minimal |
57483729 | 1036759 | 4075 | 4076 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | thin |
57483730 | 1036759 | 4075 | 4076 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | clear |
57505995 | 1054428 | 18051 | 18065 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICD | Pacemaker/AICD | Pacemaker/AICD | N/A |
57515475 | 1014000 | 362 | 363 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | minimal |
57515476 | 1014000 | 362 | 363 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | thick |
57515477 | 1014000 | 362 | 363 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | bloody |
57515478 | 1014000 | 362 | 363 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | cloudy |
57515590 | 1034813 | 825 | 826 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart Sounds | Auscultation | Heart Sounds | normal |
57515591 | 1034813 | 825 | 826 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Murmurs and Rubs | Auscultation | Murmurs and Rubs | no murmur |
57519462 | 1054428 | 17631 | 17658 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +5-Normal |
57519463 | 1054428 | 17631 | 17658 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +4-Resists |
57519464 | 1054428 | 17631 | 17658 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +4-Resists |
57519465 | 1054428 | 17631 | 17658 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +4-Resists |
57519646 | 1034813 | 4905 | 4963 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Pupils | Pupils | Pupils | pupils equal, react to light |
57519647 | 1034813 | 4905 | 4963 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | 3 mm |
57519648 | 1034813 | 4905 | 4963 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | react to light |
57519649 | 1034813 | 4905 | 4963 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | brisk |
57519650 | 1034813 | 4905 | 4963 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | 3 mm |
57519651 | 1034813 | 4905 | 4963 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | react to light |
57519652 | 1034813 | 4905 | 4963 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | brisk |
57522879 | 1008970 | 3266 | 3266 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Pulses | Pulses | Pulses | normal |
57555862 | 1054428 | 4185 | 4185 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Pupils | Pupils | Pupils | pupils equal, react to light |
57564609 | 1036759 | 4794 | 4798 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICD | Pacemaker/AICD | Pacemaker/AICD | N/A |
57577642 | 1014000 | 1071 | 1068 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
57583454 | 1054428 | 1803 | 1804 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Capillary Refill|Capillary Refill | Capillary Refill | Capillary Refill | normal |
57598869 | 1036759 | 1734 | 1889 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | normal |
57603611 | 1013300 | 624 | 687 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | none |
57639100 | 1034813 | 2273 | 2333 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | 3 mm |
57639101 | 1034813 | 2273 | 2333 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | sluggish |
57639102 | 1034813 | 2273 | 2333 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | 3 mm |
57639103 | 1034813 | 2273 | 2333 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | sluggish |
57655036 | 1036759 | 5154 | 5164 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | generalized |
57655037 | 1036759 | 5154 | 5164 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|RUE | Edema | RUE | +1 |
57655038 | 1036759 | 5154 | 5164 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|RLE | Edema | RLE | +1 |
57655039 | 1036759 | 5154 | 5164 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|LUE | Edema | LUE | +1 |
57655040 | 1036759 | 5154 | 5164 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|LLE | Edema | LLE | +1 |
57682451 | 1051785 | 165 | 197 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|Motor Strength | Motor Strength | Motor Strength | normal |
57710138 | 994512 | 1598 | 1753 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Cough/Gag Reflex | Reflexes | Cough/Gag Reflex | present |
57710139 | 994512 | 1598 | 1753 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Facial Asymmetry | Reflexes | Facial Asymmetry | absent |
57710140 | 994512 | 1598 | 1753 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Tongue Deviation (Left) | Reflexes | Tongue Deviation (Left) | absent |
57710141 | 994512 | 1598 | 1753 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Tongue Deviation (Right) | Reflexes | Tongue Deviation (Right) | absent |
57771357 | 1036759 | 5394 | 5429 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOC | Neurologic | LOC | normal |
57771358 | 1036759 | 5394 | 5429 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to person |
57771359 | 1036759 | 5394 | 5429 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to place |
57771360 | 1036759 | 5394 | 5429 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Speech | Neurologic | Speech | clear |
57771361 | 1036759 | 5394 | 5429 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Stimulus | Neurologic | Stimulus | spontaneous |
57781809 | 1048833 | 777 | 776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
57781810 | 1048833 | 777 | 776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | clear to auscultation |
57781811 | 1048833 | 777 | 776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
57781812 | 1048833 | 777 | 776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
57781813 | 1048833 | 777 | 776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | clear to auscultation |
57781814 | 1048833 | 777 | 776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
57785601 | 1048833 | 57 | 82 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
57785602 | 1048833 | 57 | 82 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | clear to auscultation |
57785603 | 1048833 | 57 | 82 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
57785604 | 1048833 | 57 | 82 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
57785605 | 1048833 | 57 | 82 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | clear to auscultation |
57785606 | 1048833 | 57 | 82 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
57793820 | 1036759 | 6594 | 6710 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
57793821 | 1036759 | 6594 | 6710 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | diminished |
57793822 | 1036759 | 6594 | 6710 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
57793823 | 1036759 | 6594 | 6710 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
57793824 | 1036759 | 6594 | 6710 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | diminished |
57793825 | 1036759 | 6594 | 6710 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
57800340 | 1054428 | 20001 | 20044 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
57800341 | 1054428 | 20001 | 20044 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | diminished |
57800342 | 1054428 | 20001 | 20044 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
57800343 | 1054428 | 20001 | 20044 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
57800344 | 1054428 | 20001 | 20044 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | diminished |
57800345 | 1054428 | 20001 | 20044 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
57841013 | 1034813 | 1305 | 1342 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Capillary Refill|Capillary Refill | Capillary Refill | Capillary Refill | normal |
57854483 | 1054428 | 8031 | 8022 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Capillary Refill|Capillary Refill | Capillary Refill | Capillary Refill | normal |
57859726 | 1034813 | 3227 | 3229 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOC | Neurologic | LOC | sedated |
57859727 | 1034813 | 3227 | 3229 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Speech | Neurologic | Speech | ET/Trach |
57859728 | 1034813 | 3227 | 3229 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Stimulus | Neurologic | Stimulus | pain |
57884179 | 1034813 | 5910 | 5912 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICD | Pacemaker/AICD | Pacemaker/AICD | N/A |
57902506 | 1008970 | 2940 | 2953 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Pulses | Pulses | Pulses | normal |
57919502 | 994512 | 1193 | 1747 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +5-Normal |
57919503 | 994512 | 1193 | 1747 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +5-Normal |
57919504 | 994512 | 1193 | 1747 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +4-Resists |
57919505 | 994512 | 1193 | 1747 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +4-Resists |
57932980 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Pupils | Pupils | Pupils | pupils equal, react to light |
57932981 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | 4 mm |
57932982 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | react to light |
57932983 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | brisk |
57932984 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | corneal response (+) |
57932985 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | EOMS (up) |
57932986 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | EOMS (down) |
57932987 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | EOMS (left) |
57932988 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | EOMS (right) |
57932989 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | 5 mm |
57932990 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | react to light |
57932991 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | brisk |
57932992 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | corneal response (+) |
57932993 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | EOMS (up) |
57932994 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | EOMS (down) |
57932995 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | EOMS (left) |
57932996 | 994512 | 98 | 386 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | EOMS (right) |
57936708 | 1034813 | 3705 | 3776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOC | Neurologic | LOC | sedated |
57936709 | 1034813 | 3705 | 3776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | unable to assess |
57936710 | 1034813 | 3705 | 3776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Speech | Neurologic | Speech | ET/Trach |
57936711 | 1034813 | 3705 | 3776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Stimulus | Neurologic | Stimulus | sound |
57967122 | 1014000 | 591 | 689 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +3-Gravity |
57967123 | 1014000 | 591 | 689 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | 0-None |
57967124 | 1014000 | 591 | 689 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +3-Gravity |
57967125 | 1014000 | 591 | 689 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +1-Flicker |
57989941 | 1048833 | 1017 | 1045 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
57989942 | 1048833 | 1017 | 1045 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | clear to auscultation |
57989943 | 1048833 | 1017 | 1045 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
57989944 | 1048833 | 1017 | 1045 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
57989945 | 1048833 | 1017 | 1045 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | clear to auscultation |
57989946 | 1048833 | 1017 | 1045 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
57995720 | 1014000 | 2045 | 2049 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | normal |
58004331 | 1054428 | 17091 | 17128 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Pulses | Pulses | Pulses | normal |
58017572 | 1034813 | 7032 | 7032 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | minimal |
58017573 | 1034813 | 7032 | 7032 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | thick |
58017574 | 1034813 | 7032 | 7032 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | white |
58029097 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Interventions | Intervention | Interventions | use commercial moisture barrier |
58029098 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Interventions | Intervention | Interventions | use absorbent pads or diapers that wick & hold moisture |
58029099 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Interventions | Intervention | Interventions | address cause if possible |
58029100 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Interventions | Intervention | Interventions | consult dietitian |
58029101 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Interventions | Intervention | Interventions | elevate HOB no more than 30° |
58029102 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Interventions | Intervention | Interventions | use lift sheet to move patient |
58029103 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Interventions | Intervention | Interventions | protect elbows & heels if being exposed to friction |
58029104 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Interventions | Intervention | Interventions | no massage of reddened bony prominences |
58029105 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Interventions | Intervention | Interventions | no do-nut type devices |
58029106 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Interventions | Intervention | Interventions | maintain good hydration |
58029107 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Interventions | Intervention | Interventions | avoid drying the skin |
58029108 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Pressure Sore Risk Interventions | Intervention | Pressure Sore Risk Interventions | manage moisture, nutrition and friction & shear |
58029109 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Pressure Sore Risk Interventions | Intervention | Pressure Sore Risk Interventions | maximal remobilization |
58029110 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Pressure Sore Risk Interventions | Intervention | Pressure Sore Risk Interventions | pressure-reduction support surface |
58029111 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Pressure Sore Risk Interventions | Intervention | Pressure Sore Risk Interventions | protect heels |
58029112 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Pressure Sore Risk Interventions | Intervention | Pressure Sore Risk Interventions | frequent turning |
58029113 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Pressure Sore Risk Interventions | Intervention | Pressure Sore Risk Interventions | turning schedule |
58029114 | 1034813 | 2745 | 2758 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Intervention|Pressure Sore Risk Interventions | Intervention | Pressure Sore Risk Interventions | use pressure-relieving surface |
58052684 | 1054428 | 14966 | 15064 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | regular |
58052685 | 1054428 | 14966 | 15064 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | unlabored |
58056515 | 1054428 | 5871 | 5933 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
58056516 | 1054428 | 5871 | 5933 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
58056517 | 1054428 | 5871 | 5933 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
58056518 | 1054428 | 5871 | 5933 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
58114467 | 1034813 | 1305 | 1342 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | minimal |
58114468 | 1034813 | 1305 | 1342 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | thin |
58114469 | 1034813 | 1305 | 1342 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | clear |
58138705 | 1008970 | 3266 | 3266 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
58138706 | 1008970 | 3266 | 3266 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | diminished |
58138707 | 1008970 | 3266 | 3266 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
58138708 | 1008970 | 3266 | 3266 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
58138709 | 1008970 | 3266 | 3266 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | diminished |
58138710 | 1008970 | 3266 | 3266 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
58141850 | 1008970 | 2114 | 2114 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
58141851 | 1008970 | 2114 | 2114 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
58141852 | 1008970 | 2114 | 2114 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
58141853 | 1008970 | 2114 | 2114 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
58142045 | 1048833 | 357 | 360 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +4-Resists |
58142046 | 1048833 | 357 | 360 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +4-Resists |
58142047 | 1048833 | 357 | 360 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +5-Normal |
58142048 | 1048833 | 357 | 360 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +5-Normal |
58148074 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Pupils | Pupils | Pupils | pupils equal, react to light |
58148075 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | 4 mm |
58148076 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | react to light |
58148077 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | brisk |
58148078 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | corneal response (+) |
58148079 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | EOMS (up) |
58148080 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | EOMS (down) |
58148081 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | EOMS (left) |
58148082 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | EOMS (right) |
58148083 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | 5 mm |
58148084 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | react to light |
58148085 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | brisk |
58148086 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | corneal response (+) |
58148087 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | EOMS (up) |
58148088 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | EOMS (down) |
58148089 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | EOMS (left) |
58148090 | 994512 | 233 | 388 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | EOMS (right) |
58165176 | 1054428 | 11391 | 11431 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart Sounds | Auscultation | Heart Sounds | normal |
58165177 | 1054428 | 11391 | 11431 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Murmurs and Rubs | Auscultation | Murmurs and Rubs | no murmur |
58173543 | 1013300 | 504 | 526 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOC | Neurologic | LOC | normal |
58173544 | 1013300 | 504 | 526 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to person |
58173545 | 1013300 | 504 | 526 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to place |
58173546 | 1013300 | 504 | 526 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to time |
58173547 | 1013300 | 504 | 526 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to situation |
58173548 | 1013300 | 504 | 526 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Speech | Neurologic | Speech | clear |
58173549 | 1013300 | 504 | 526 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Stimulus | Neurologic | Stimulus | spontaneous |
58183200 | 1036759 | 1854 | 1891 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Pulses | Pulses | Pulses | normal |
58211038 | 1054428 | 14502 | 14513 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
58212823 | 1014000 | 2279 | 2279 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Cough|Cough | Cough | Cough | weak |
58232039 | 1054428 | 15171 | 15344 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | regular |
58232040 | 1054428 | 15171 | 15344 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | unlabored |
58241223 | 1008970 | 285 | 297 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | minimal |
58241224 | 1008970 | 285 | 297 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | frothy |
58241225 | 1008970 | 285 | 297 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | white |
58263342 | 1054428 | 6144 | 6148 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | unlabored |
58310783 | 1054428 | 1567 | 1569 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
58333219 | 1013300 | 624 | 687 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Pupils | Pupils | Pupils | pupils equal, react to light |
58333220 | 1013300 | 624 | 687 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | 3 mm |
58333221 | 1013300 | 624 | 687 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | react to light |
58333222 | 1013300 | 624 | 687 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | brisk |
58333223 | 1013300 | 624 | 687 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | 3 mm |
58333224 | 1013300 | 624 | 687 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | react to light |
58333225 | 1013300 | 624 | 687 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | brisk |
58337035 | 1054428 | 2031 | 2027 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | rhonchi |
58337036 | 1054428 | 2031 | 2027 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
58337037 | 1054428 | 2031 | 2027 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | rhonchi |
58337038 | 1054428 | 2031 | 2027 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | rhonchi |
58337039 | 1054428 | 2031 | 2027 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
58337040 | 1054428 | 2031 | 2027 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | rhonchi |
58352232 | 1054428 | 17631 | 17658 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | rhonchi |
58352233 | 1054428 | 17631 | 17658 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
58352234 | 1054428 | 17631 | 17658 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | rhonchi |
58352235 | 1054428 | 17631 | 17658 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
58362105 | 1036759 | 3324 | 3385 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | regular |
58362106 | 1036759 | 3324 | 3385 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | unlabored |
58375579 | 1036759 | 2004 | 2068 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Capillary Refill|Capillary Refill | Capillary Refill | Capillary Refill | normal |
58381979 | 1054428 | 5181 | 5191 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart Sounds | Auscultation | Heart Sounds | normal |
58391332 | 1054428 | 20241 | 20304 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | none |
58407398 | 1036759 | 244 | 261 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart Sounds | Auscultation | Heart Sounds | normal |
58407399 | 1036759 | 244 | 261 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Murmurs and Rubs | Auscultation | Murmurs and Rubs | no murmur |
58408534 | 1013300 | 984 | 1267 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
58440037 | 1034813 | 6345 | 6441 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Cough|Cough | Cough | Cough | medium |
58440038 | 1034813 | 6345 | 6441 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Cough|Cough | Cough | Cough | productive |
58445621 | 1054428 | 10941 | 10946 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | minimal |
58445622 | 1054428 | 10941 | 10946 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | thin |
58445623 | 1054428 | 10941 | 10946 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | clear |
58454204 | 1054428 | -10 | -4 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | 3 mm |
58454205 | 1054428 | -10 | -4 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | react to light |
58454206 | 1054428 | -10 | -4 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | sluggish |
58454207 | 1054428 | -10 | -4 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | 3 mm |
58454208 | 1054428 | -10 | -4 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | react to light |
58454209 | 1054428 | -10 | -4 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | sluggish |
58505371 | 1014000 | 1071 | 1068 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart Sounds | Auscultation | Heart Sounds | normal |
58538910 | 1054428 | 16851 | 16868 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOC | Neurologic | LOC | normal |
58538911 | 1054428 | 16851 | 16868 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | unable to assess |
58538912 | 1054428 | 16851 | 16868 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Speech | Neurologic | Speech | ET/Trach |
58538913 | 1054428 | 16851 | 16868 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Stimulus | Neurologic | Stimulus | spontaneous |
58547947 | 1034813 | 8744 | 8750 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
58547948 | 1034813 | 8744 | 8750 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
58547949 | 1034813 | 8744 | 8750 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
58547950 | 1034813 | 8744 | 8750 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
58554548 | 1036759 | 5784 | 5801 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart Sounds | Auscultation | Heart Sounds | normal |
58554549 | 1036759 | 5784 | 5801 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Murmurs and Rubs | Auscultation | Murmurs and Rubs | no murmur |
58581340 | 1008970 | 1605 | 1605 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Cough/Gag Reflex | Reflexes | Cough/Gag Reflex | present |
58586154 | 1013300 | 48 | 50 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +5-Normal |
58586155 | 1013300 | 48 | 50 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +5-Normal |
58586156 | 1013300 | 48 | 50 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +5-Normal |
58586157 | 1013300 | 48 | 50 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +5-Normal |
58589599 | 1054428 | 5181 | 5191 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | normal |
58607203 | 1036759 | 834 | 987 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | regular |
58607204 | 1036759 | 834 | 987 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | unlabored |
58620457 | 1008970 | 3045 | 3049 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +5-Normal |
58620458 | 1008970 | 3045 | 3049 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +4-Resists |
58620459 | 1008970 | 3045 | 3049 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +5-Normal |
58620460 | 1008970 | 3045 | 3049 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +4-Resists |
58623693 | 1008970 | 3266 | 3266 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | warm |
58682341 | 1054428 | 20491 | 20612 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | normal |
58737370 | 1014000 | 2279 | 2279 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
58738326 | 1008970 | 1260 | 1423 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Pupils | Pupils | Pupils | pupils equal, react to light |
58738327 | 1008970 | 1260 | 1423 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | 3 mm |
58738328 | 1008970 | 1260 | 1423 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | brisk |
58738329 | 1008970 | 1260 | 1423 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | 3 mm |
58738330 | 1008970 | 1260 | 1423 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | brisk |
58742256 | 1054428 | 2271 | 2318 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | rhonchi |
58742257 | 1054428 | 2271 | 2318 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
58742258 | 1054428 | 2271 | 2318 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | rhonchi |
58742259 | 1054428 | 2271 | 2318 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
58754482 | 1054428 | 10410 | 10412 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICD | Pacemaker/AICD | Pacemaker/AICD | N/A |
58756098 | 1034813 | 8265 | 8269 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Capillary Refill|Capillary Refill | Capillary Refill | Capillary Refill | normal |
58776033 | 1054428 | 8771 | 8776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Pupils | Pupils | Pupils | pupils equal, react to light |
58776034 | 1054428 | 8771 | 8776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | 3 mm |
58776035 | 1054428 | 8771 | 8776 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | 3 mm |
58809987 | 1048833 | 957 | 985 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOC | Neurologic | LOC | normal |
58809988 | 1048833 | 957 | 985 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to person |
58809989 | 1048833 | 957 | 985 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to place |
58809990 | 1048833 | 957 | 985 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to time |
58809991 | 1048833 | 957 | 985 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to situation |
58809992 | 1048833 | 957 | 985 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Speech | Neurologic | Speech | slurred |
58809993 | 1048833 | 957 | 985 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Stimulus | Neurologic | Stimulus | spontaneous |
58827344 | 1036759 | 5274 | 5300 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICD | Pacemaker/AICD | Pacemaker/AICD | N/A |
58848548 | 1036759 | 3594 | 3681 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|Motor Strength | Motor Strength | Motor Strength | normal |
58903983 | 1036759 | 714 | 781 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Pulses | Pulses | Pulses | normal |
58919292 | 1054428 | 20241 | 20304 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
58922179 | 1054428 | 6591 | 6592 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
58929134 | 1054428 | 17091 | 17128 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | copious |
58929135 | 1054428 | 17091 | 17128 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | thick |
58929136 | 1054428 | 17091 | 17128 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | tan |
58929137 | 1054428 | 17091 | 17128 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | yellow |
58956279 | 1008970 | 2940 | 2953 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | warm |
58969321 | 1054428 | 15411 | 15579 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Pulses | Pulses | Pulses | normal |
59022106 | 1034813 | 4425 | 4454 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | regular |
59022107 | 1034813 | 4425 | 4454 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | unlabored |
59027339 | 1054428 | 9480 | 9549 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Cough/Gag Reflex | Reflexes | Cough/Gag Reflex | present |
59029542 | 1008970 | 60 | 77 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Right Dorsalis Pedis | Pulses | Right Dorsalis Pedis | faint |
59029543 | 1008970 | 60 | 77 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Right Radial | Pulses | Right Radial | strong |
59029544 | 1008970 | 60 | 77 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Left Dorsalis Pedis | Pulses | Left Dorsalis Pedis | faint |
59029545 | 1008970 | 60 | 77 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Left Radial | Pulses | Left Radial | strong |
59086200 | 994512 | -4 | 385 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Sensation|Sensation | Sensation | Sensation | normal |
59115912 | 1054428 | 12591 | 12656 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +3-Gravity |
59115913 | 1054428 | 12591 | 12656 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +1-Flicker |
59115914 | 1054428 | 12591 | 12656 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +3-Gravity |
59115915 | 1054428 | 12591 | 12656 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +1-Flicker |
59153469 | 1015158 | 484 | 504 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Pupils | Pupils | Pupils | pupils equal, react to light |
59153470 | 1015158 | 484 | 504 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | 3 mm |
59153471 | 1015158 | 484 | 504 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | react to light |
59153472 | 1015158 | 484 | 504 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | brisk |
59153473 | 1015158 | 484 | 504 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | 3 mm |
59153474 | 1015158 | 484 | 504 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | react to light |
59153475 | 1015158 | 484 | 504 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | brisk |
59160863 | 1036759 | 5274 | 5300 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | generalized |
59160864 | 1036759 | 5274 | 5300 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|RUE | Edema | RUE | +1 |
59160865 | 1036759 | 5274 | 5300 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|RLE | Edema | RLE | +1 |
59160866 | 1036759 | 5274 | 5300 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|LUE | Edema | LUE | +1 |
59160867 | 1036759 | 5274 | 5300 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|LLE | Edema | LLE | +1 |
59172552 | 994512 | -4 | 385 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
59202317 | 1036759 | 5154 | 5164 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart Sounds | Auscultation | Heart Sounds | normal |
59202318 | 1036759 | 5154 | 5164 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Murmurs and Rubs | Auscultation | Murmurs and Rubs | no murmur |
59233490 | 1054428 | 18291 | 18315 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +5-Normal |
59233491 | 1054428 | 18291 | 18315 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +4-Resists |
59233492 | 1054428 | 18291 | 18315 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +5-Normal |
59233493 | 1054428 | 18291 | 18315 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +4-Resists |
59237476 | 1036759 | 4194 | 4228 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Capillary Refill|Capillary Refill | Capillary Refill | Capillary Refill | normal |
59249580 | 1013300 | 504 | 526 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +5-Normal |
59249581 | 1013300 | 504 | 526 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +5-Normal |
59249582 | 1013300 | 504 | 526 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +5-Normal |
59249583 | 1013300 | 504 | 526 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +5-Normal |
59260998 | 1036759 | 3474 | 3573 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | rhonchi |
59260999 | 1036759 | 3474 | 3573 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | rhonchi |
59261000 | 1036759 | 3474 | 3573 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | rhonchi |
59261001 | 1036759 | 3474 | 3573 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | rhonchi |
59265698 | 1034813 | 8265 | 8269 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | minimal |
59265699 | 1034813 | 8265 | 8269 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | frothy |
59265700 | 1034813 | 8265 | 8269 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | yellow |
59288389 | 1034813 | 1305 | 1342 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Pulses | Pulses | Pulses | normal |
59326441 | 1036759 | 364 | 365 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOC | Neurologic | LOC | normal |
59326442 | 1036759 | 364 | 365 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to person |
59326443 | 1036759 | 364 | 365 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to place |
59326444 | 1036759 | 364 | 365 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to time |
59326445 | 1036759 | 364 | 365 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to situation |
59326446 | 1036759 | 364 | 365 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Speech | Neurologic | Speech | clear |
59326447 | 1036759 | 364 | 365 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Stimulus | Neurologic | Stimulus | spontaneous |
59332494 | 1036759 | 4674 | 4678 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | normal |
59336451 | 1008970 | 173 | 173 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOC | Neurologic | LOC | sedated |
59336452 | 1008970 | 173 | 173 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | unable to assess |
59336453 | 1008970 | 173 | 173 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Speech | Neurologic | Speech | ET/Trach |
59336454 | 1008970 | 173 | 173 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Stimulus | Neurologic | Stimulus | sound |
59348045 | 1014000 | 843 | 844 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | rhonchi |
59348046 | 1014000 | 843 | 844 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | clear to auscultation |
59348047 | 1014000 | 843 | 844 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
59348048 | 1014000 | 843 | 844 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
59348049 | 1014000 | 843 | 844 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | clear to auscultation |
59348050 | 1014000 | 843 | 844 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
59366672 | 1013300 | 864 | 880 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +5-Normal |
59366673 | 1013300 | 864 | 880 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +5-Normal |
59366674 | 1013300 | 864 | 880 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +5-Normal |
59366675 | 1013300 | 864 | 880 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +5-Normal |
59379005 | 1054428 | 2271 | 2318 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Cough/Gag Reflex | Reflexes | Cough/Gag Reflex | present |
59393661 | 1034813 | 4425 | 4454 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +4-Resists |
59393662 | 1034813 | 4425 | 4454 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +4-Resists |
59393663 | 1034813 | 4425 | 4454 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +4-Resists |
59393664 | 1034813 | 4425 | 4454 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +4-Resists |
59402074 | 1051785 | 165 | 197 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
59409591 | 1054428 | 4719 | 4720 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Cough|Cough | Cough | Cough | strong |
59409592 | 1054428 | 4719 | 4720 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Cough|Cough | Cough | Cough | productive |
59414213 | 1034813 | 4665 | 4699 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | minimal |
59414214 | 1034813 | 4665 | 4699 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | yellow |
59425699 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Pupils | Pupils | Pupils | pupils equal, react to light |
59425700 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | 3 mm |
59425701 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | react to light |
59425702 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Right | Pupils | Right | brisk |
59425703 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | 3 mm |
59425704 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | react to light |
59425705 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Pupils|Left | Pupils | Left | brisk |
59434985 | 1054428 | 17631 | 17658 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
59442744 | 1054428 | 3741 | 3790 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | warm |
59461082 | 1054428 | 2511 | 2618 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | normal |
59499706 | 1014000 | 2279 | 2279 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICD | Pacemaker/AICD | Pacemaker/AICD | N/A |
59508563 | 1034813 | 4905 | 4963 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +4-Resists |
59508564 | 1034813 | 4905 | 4963 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +4-Resists |
59508565 | 1034813 | 4905 | 4963 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +4-Resists |
59508566 | 1034813 | 4905 | 4963 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +4-Resists |
59513104 | 1008970 | 650 | 653 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | warm |
59534934 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOC | Neurologic | LOC | normal |
59534935 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to person |
59534936 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to place |
59534937 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to time |
59534938 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to situation |
59534939 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | unable to assess |
59534940 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Speech | Neurologic | Speech | clear |
59534941 | 1008970 | 1995 | 2012 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Stimulus | Neurologic | Stimulus | spontaneous |
59571206 | 1014000 | 2279 | 2279 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
59571207 | 1014000 | 2279 | 2279 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | clear to auscultation |
59571208 | 1014000 | 2279 | 2279 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
59571209 | 1014000 | 2279 | 2279 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | clear to auscultation |
59585006 | 1036759 | 1134 | 1221 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart Sounds | Auscultation | Heart Sounds | normal |
59585007 | 1036759 | 1134 | 1221 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Murmurs and Rubs | Auscultation | Murmurs and Rubs | no murmur |
59598188 | 1054428 | 18051 | 18065 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +5-Normal |
59598189 | 1054428 | 18051 | 18065 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +4-Resists |
59598190 | 1054428 | 18051 | 18065 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +5-Normal |
59598191 | 1054428 | 18051 | 18065 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +4-Resists |
59599182 | 1008970 | 780 | 819 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | moderate |
59599183 | 1008970 | 780 | 819 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | cloudy |
59599184 | 1008970 | 780 | 819 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | white |
59629596 | 1008970 | 540 | 556 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
59644039 | 1048833 | 657 | 670 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Sensation|Sensation | Sensation | Sensation | normal |
59646467 | 1036759 | 594 | 647 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
59655943 | 1054428 | 3951 | 4185 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Pulses | Pulses | Pulses | normal |
59688529 | 1054428 | 17631 | 17658 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | normal |
59705652 | 1008970 | 2220 | 2486 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +5-Normal |
59705653 | 1008970 | 2220 | 2486 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +4-Resists |
59705654 | 1008970 | 2220 | 2486 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +5-Normal |
59705655 | 1008970 | 2220 | 2486 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +4-Resists |
59719716 | 1015158 | 4 | 53 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Capillary Refill|Capillary Refill | Capillary Refill | Capillary Refill | < 2 seconds |
59728728 | 1054428 | 18291 | 18315 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
59746767 | 1013300 | 1224 | 1268 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | normal |
59767360 | 1013300 | 984 | 1267 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +5-Normal |
59767361 | 1013300 | 984 | 1267 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +5-Normal |
59767362 | 1013300 | 984 | 1267 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +5-Normal |
59767363 | 1013300 | 984 | 1267 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +5-Normal |
59819043 | 1051785 | 660 | 717 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | regular |
59819044 | 1051785 | 660 | 717 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | unlabored |
59851035 | 1054428 | 7341 | 7343 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
59851036 | 1054428 | 7341 | 7343 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
59851037 | 1054428 | 7341 | 7343 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
59851038 | 1054428 | 7341 | 7343 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
59854974 | 1054428 | 846 | 888 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Heart Sounds | Auscultation | Heart Sounds | normal |
59854975 | 1054428 | 846 | 888 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Auscultation|Murmurs and Rubs | Auscultation | Murmurs and Rubs | no murmur |
59855545 | 1015158 | 674 | 746 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | no edema |
59863473 | 1054428 | 12111 | 12245 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | rhonchi |
59863474 | 1054428 | 12111 | 12245 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | rhonchi |
59863475 | 1054428 | 12111 | 12245 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | rhonchi |
59863476 | 1054428 | 12111 | 12245 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | rhonchi |
59878007 | 1008970 | 650 | 653 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICD | Pacemaker/AICD | Pacemaker/AICD | N/A |
59883001 | 1054428 | 11160 | 11161 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | minimal |
59883002 | 1054428 | 11160 | 11161 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | thin |
59883003 | 1054428 | 11160 | 11161 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Secretions|Secretions | Secretions | Secretions | clear |
59914890 | 1034813 | 5650 | 5711 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Cough/Gag Reflex | Reflexes | Cough/Gag Reflex | present |
59921842 | 1054428 | 1102 | 1227 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOC | Neurologic | LOC | lethargic |
59921843 | 1054428 | 1102 | 1227 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | to person |
59921844 | 1054428 | 1102 | 1227 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Speech | Neurologic | Speech | moan/grunt |
59921845 | 1054428 | 1102 | 1227 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Stimulus | Neurologic | Stimulus | spontaneous |
59926551 | 994512 | 233 | 389 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICD | Pacemaker/AICD | Pacemaker/AICD | N/A |
59952899 | 1034813 | 296 | 298 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Reflexes | Reflexes | Reflexes | normal |
59982679 | 1054428 | 4719 | 4720 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | diminished |
59982680 | 1054428 | 4719 | 4720 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
59982681 | 1054428 | 4719 | 4720 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | diminished |
59982682 | 1054428 | 4719 | 4720 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |
59996661 | 1036759 | 2154 | 2173 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Cough|Cough | Cough | Cough | strong |
59996662 | 1036759 | 2154 | 2173 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Cough|Cough | Cough | Cough | productive |
60003014 | 1054428 | 6144 | 6148 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | normal |
60038597 | 1036759 | 3474 | 3574 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Braden Score Total | Braden Scale | Braden Score Total | 14 |
60038598 | 1036759 | 3474 | 3574 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Sensory Perception | Braden Scale | Sensory Perception | 3. slightly limited |
60038599 | 1036759 | 3474 | 3574 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Moisture | Braden Scale | Moisture | 4. rarely moist |
60038600 | 1036759 | 3474 | 3574 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Activity | Braden Scale | Activity | 1. bedfast |
60038601 | 1036759 | 3474 | 3574 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Mobility | Braden Scale | Mobility | 2. very limited |
60038602 | 1036759 | 3474 | 3574 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Nutrition | Braden Scale | Nutrition | 2. probably inadequate |
60038603 | 1036759 | 3474 | 3574 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Friction & Shear | Braden Scale | Friction & Shear | 2. potential problem |
60038604 | 1036759 | 3474 | 3574 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Pressure Sore Risk | Braden Scale | Pressure Sore Risk | moderate risk (13-14) |
60063669 | 1054428 | 13791 | 13819 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|LOC | Neurologic | LOC | normal |
60063670 | 1054428 | 13791 | 13819 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Orientation | Neurologic | Orientation | unable to assess |
60063671 | 1054428 | 13791 | 13819 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Speech | Neurologic | Speech | ET/Trach |
60063672 | 1054428 | 13791 | 13819 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Neurologic|Stimulus | Neurologic | Stimulus | spontaneous |
60095355 | 1048833 | 1077 | 1122 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Reflexes | Reflexes | Reflexes | normal |
60095356 | 1048833 | 1077 | 1122 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Reflexes|Cough/Gag Reflex | Reflexes | Cough/Gag Reflex | present |
60095750 | 1036759 | 5664 | 5674 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +5-Normal |
60095751 | 1036759 | 5664 | 5674 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +5-Normal |
60095752 | 1036759 | 5664 | 5674 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +5-Normal |
60095753 | 1036759 | 5664 | 5674 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +5-Normal |
60113671 | 1048833 | 837 | 868 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Sensation|Sensation | Sensation | Sensation | normal |
60127207 | 1008970 | 2700 | 2838 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | regular |
60127208 | 1008970 | 2700 | 2838 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Pattern|Pattern | Pattern | Pattern | unlabored |
60137805 | 1054428 | 10941 | 10946 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RUE | Motor Strength | RUE | +4-Resists |
60137806 | 1054428 | 10941 | 10946 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|RLE | Motor Strength | RLE | +1-Flicker |
60137807 | 1054428 | 10941 | 10946 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LUE | Motor Strength | LUE | +5-Normal |
60137808 | 1054428 | 10941 | 10946 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Neurologic|Motor Strength|LLE | Motor Strength | LLE | +1-Flicker |
60165389 | 1036759 | 4434 | 4437 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|Edema | Edema | Edema | generalized |
60165390 | 1036759 | 4434 | 4437 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|RUE | Edema | RUE | +1 |
60165391 | 1036759 | 4434 | 4437 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|RLE | Edema | RLE | +1 |
60165392 | 1036759 | 4434 | 4437 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|LUE | Edema | LUE | +1 |
60165393 | 1036759 | 4434 | 4437 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Edema|LLE | Edema | LLE | +1 |
60169824 | 994512 | 413 | 463 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
60169825 | 994512 | 413 | 463 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | clear to auscultation |
60169826 | 994512 | 413 | 463 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
60169827 | 994512 | 413 | 463 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | clear to auscultation |
60213082 | 1014000 | 591 | 689 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Braden Score Total | Braden Scale | Braden Score Total | 12 |
60213083 | 1014000 | 591 | 689 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Sensory Perception | Braden Scale | Sensory Perception | 2. very limited |
60213084 | 1014000 | 591 | 689 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Moisture | Braden Scale | Moisture | 3. occasionally moist |
60213085 | 1014000 | 591 | 689 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Activity | Braden Scale | Activity | 1. bedfast |
60213086 | 1014000 | 591 | 689 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Mobility | Braden Scale | Mobility | 2. very limited |
60213087 | 1014000 | 591 | 689 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Nutrition | Braden Scale | Nutrition | 2. probably inadequate |
60213088 | 1014000 | 591 | 689 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Friction & Shear | Braden Scale | Friction & Shear | 2. potential problem |
60213089 | 1014000 | 591 | 689 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Scores|Braden Scale|Pressure Sore Risk | Braden Scale | Pressure Sore Risk | high risk (10-12) |
60216779 | 1054428 | 5181 | 5191 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pulses|Pulses | Pulses | Pulses | normal |
60219672 | 1054428 | 12351 | 12498 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Skin Color/Temp|Skin Color/Temp | Skin Color/Temp | Skin Color/Temp | normal |
60230978 | 1054428 | 15411 | 15579 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Cardiovascular|Pacemaker/AICD|Pacemaker/AICD | Pacemaker/AICD | Pacemaker/AICD | N/A |
60245396 | 1054428 | 4185 | 4185 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Upper | Breath Sounds | Right Upper | clear to auscultation |
60245397 | 1054428 | 4185 | 4185 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Right Lower | Breath Sounds | Right Lower | diminished |
60245398 | 1054428 | 4185 | 4185 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Upper | Breath Sounds | Left Upper | clear to auscultation |
60245399 | 1054428 | 4185 | 4185 | flowsheet|Flowsheet Cell Labels|Nursing Assessment|Respiratory|Breath Sounds|Left Lower | Breath Sounds | Left Lower | diminished |