SCL ECMO

Show hidden and conditional rows

Impella	3/1/2020
	1100	1400
Vital Signs
#2 Temp	Temperature	Temperature	+
Minimum value: 0 Maximum value: 150 Minimum warning value: 92 Maximum warning value: 105 Synonyms: TEMPS, TEMPERATURE, #2 TEMP Comments: Temperature Row type: Data Value type: Temperature Can be graphed
#2 Temp Source	Category	Category	+
Category INI: EPT Category item: 18015 Synonyms: TEMP SRC, TEMP SOURCE, TMP SOURCE, TEMPERATURE SOURCE, #2 TEMP SRC Comments: Source of temp Row type: Data Value type: Category Type Show abbreviation
Arterial Line BP	Blood Pressure	Blood Pressure	+
Synonyms: ARTERIAL LINE BP Row type: Data Value type: Blood Pressure Allow completion Add to all templates where this row is start removed Can be graphed
MAP (mmHg)	Number	Number	+
Decimal places: 0 Minimum value: 0 Minimum warning value: 65 Row information: MAP=Mean Arterial Pressure. Enter value from monitor/device. Synonyms: MEAN ARTERIAL PRESSURE Row type: Data Value type: Numeric Type Allow completion Add to all templates where this row is start removed Can be graphed
O2 Device	List	List	+
List options: None (Room air) Aerosol Mask Bag / Valve / Mask Bi-flow (Kitty Mask) BIPAP Blow-by Bubble CPAP CPAP Face Tent Flow Inflating Bag Heated/Humidified Nasal Cannula HFJV High Flow Nasal Cannula Home Equipment Hood iNO (Inhaled Nitric Oxide) Nasal Cannula Nasal Endotracheal Tube NAVA NIPPV Non-rebreather Mask Open Oxygen Delivery Device (Headset) Oral Endotracheal Tube Oscillator Partial Rebreather Mask RAM Cannula Simple Mask T-Piece T-Piece Resuscitator Trach Mask Trach tube Transtracheal catheter Ventilator Venturi Mask Other (Comment) Size button width to each choice Synonyms: O2 DEVICE Row type: Data Value type: Custom List Show abbreviation Allow completion Display all list choices in Navigator Multi-select Add to all templates where this row is start removed Condition: High Flow Nasal Cannula Condition: Default groups/rows added when conditions are met HFNC Device ID Condition: Default groups/rows added when conditions are met O2 (L/min) FiO2 (%)
O2 (L/min) (Hidden by default)	Number	Number	+
Decimal places: 2 Minimum value: 0 Unit: L/min Synonyms: OXYGEN FLOW RATE Row type: Data Value type: Numeric Type Allow completion Add to all templates where this row is start removed Can be graphed
Controller Flowsheet
Impella System	List	List	+
List options: 2.5 5.0 CP Synonyms: IMPELLA SYSTEM Row type: Data Value type: Custom List
Machine Number	Number	Number	+
Synonyms: MACHINE NUMBER Row type: Data Value type: Numeric Type Can be graphed
P-Level	List	List	+
List options: P On P Off P-0 P-1 P-2 P-3 P-4 P-5 P-6 P-7 P-8 P-9 Row information: Impella Performance Level Synonyms: P-LEVEL, PERFORMANCE LEVEL Row type: Data Value type: Custom List Show abbreviation Allow completion Display all list choices in Navigator Multi-select Can be graphed
Flow Control	List	List	+
List options: On Off Synonyms: FLOW CONTROL Row type: Data Value type: Custom List Can be graphed
Flow (L/min)	Number	Number	+
Unit: L/min Synonyms: FLOW (L/MIN) Row type: Data Value type: Numeric Type Can be graphed
Placement Pictogram	List	List	+
List options: OK Unknown Wrong Synonyms: PLACEMENT PICTOGRAM Row type: Data Value type: Custom List
Placement Signal	Blood Pressure	Blood Pressure	+
Synonyms: PLACEMENT SIGNAL Row type: Data Value type: Blood Pressure Can be graphed
Purge Pressure (mmHg)	Number	Number	+
Unit: mmHg Synonyms: PURGE PRESSURE Row type: Data Value type: Numeric Type Can be graphed
Purge Flow (mL/hr)	Number	Number	+
Unit: mL/her Synonyms: PURGE FLOW (ML/HR) Row type: Data Value type: Numeric Type Can be graphed
Motor Current Amp (mA)	Number	Number	+
Unit: mA Synonyms: MOTOR CURRENT AMP (MA) Row type: Data Value type: Numeric Type Can be graphed
Power Source	List	List	+
List options: AC Battery Synonyms: POWER SOURCE Row type: Data Value type: Custom List
Infusion History - Heparin (units)	Number	Number	+
Unit: units Synonyms: INFUSION HISTORY - HEPARIN Row type: Data Value type: Numeric Type Can be graphed
Infusion History - Dextrose Units (mg)	Number	Number	+
Unit: mg Synonyms: INFUSION HISTORY - DEXTROSE UNITS (MG) Row type: Data Value type: Numeric Type Can be graphed
Sidearm pressure bag at 300mmHg	List	List	+
List options: Yes No Synonyms: SIDEARM PRESSURE BAG AT 300MMHG Row type: Data Value type: Custom List
Fluid level in pressure bag checked	List	List	+
List options: Yes Synonyms: FLUID LEVEL IN PRESSURE BAG CHECKED Row type: Data Value type: Custom List Can be graphed
Fluid level in pressure bag (mL) (RETIRED) (Hidden by default)	Number	Number	+
Unit: mL Synonyms: FLUID LEVEL IN PRESSURE BAG Row type: Data Value type: Numeric Type Can be graphed
ACT/PTT	List	List	+
List options: ACT PTT Synonyms: ACT/PTT Row type: Data Value type: Custom List
Purge system change out - Date	Date	Date	+
Synonyms: PURGE SYSTEM CHANGE OUT - DATE Row type: Data Value type: Date
Purge system change out - Time	Time	Time	+
Synonyms: PURGE SYSTEM CHANGE OUT - TIME Row type: Data Value type: Time
Impella (Hidden by default)			Duplicable
Impella Properties (Hidden by default)	Properties Group	Properties Group	+
Inserted by Impella Type Access Location Locked at: (cm) Removed by 5.0 Impella Removal 2.5 Impella Initial Removal Synonyms: IMPELLA PROPERTIES Row type: Properties Group Allow completion
Site Assessment (Hidden by default)	List	List	+
List options: Clean Dry Intact Bleeding Hematoma Other (Comment) Synonyms: SITE ASSESSMENT Row type: Data Value type: Custom List Allow completion Allow copy forward Display all list choices in Navigator Multi-select Add to all templates where this row is start removed
Post Removal Site Assessment (Hidden by default)	List	List	+
List options: No complications Bleeding Bruising Hematoma Redness Swelling Other (Comment) Synonyms: IMPELLA POST REMOVAL, POST REMOVAL SITE ASSESSMENT Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator Multi-select
Interventions (Hidden by default)	List	List	+
List options: Manual pressure Pressure dressing applied MD notified Labs drawn X-ray Other (Comment) Synonyms: INTERVENTIONS, IMPELLA Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator Multi-select
Pulses
Pulses	List	List	+
List options: R carotid L carotid R temporal L temporal R brachial L brachial R radial L radial R ulnar L ulnar R femoral L femoral R popliteal L popliteal R posterior tibial L posterior tibial R pedal L pedal Row type: Data Value type: Custom List Allow copy forward Display all list choices in Navigator Multi-select Condition: R carotid Condition: Condition: Default groups/rows added when conditions are met L Carotid Pulse Condition: Default groups/rows added when conditions are met R Temporal Pulse Condition: Default groups/rows added when conditions are met L Temporal Pulse Condition: Default groups/rows added when conditions are met R Brachial Pulse Condition: Default groups/rows added when conditions are met L Brachial Pulse Condition: Default groups/rows added when conditions are met R Radial Pulse Condition: Default groups/rows added when conditions are met L Radial Pulse Condition: Default groups/rows added when conditions are met R Ulnar Pulse Condition: Default groups/rows added when conditions are met L Ulnar Pulse Condition: Default groups/rows added when conditions are met R Femoral Pulse Condition: Default groups/rows added when conditions are met L Femoral Pulse Condition: Default groups/rows added when conditions are met R Popliteal Pulse Condition: Default groups/rows added when conditions are met L Popliteal Pulse Condition: Default groups/rows added when conditions are met R Posterior Tibial Pulse Condition: Default groups/rows added when conditions are met L Posterior Tibial Pulse Condition: Default groups/rows added when conditions are met R Pedal Pulse
R Carotid Pulse (Hidden by default)	List	List	+
List options: +1=Weak +2=Moderate +3=Strong +4=Bounding Doppler Absent UTA=Unable to assess Other (Comment) Synonyms: R CAROTID PULSE Row type: Data Value type: Custom List Allow copy forward Display all list choices in Navigator
L Carotid Pulse (Hidden by default)	List	List	+
List options: +1=Weak +2=Moderate +3=Strong +4=Bounding Doppler Absent UTA=Unable to assess Other (Comment) Synonyms: L CAROTID PULSE Row type: Data Value type: Custom List Allow copy forward Display all list choices in Navigator
R Temporal Pulse (Hidden by default)	List	List	+
List options: +1=Weak +2=Moderate +3=Strong +4=Bounding Doppler Absent UTA=Unable to assess Other (Comment) Synonyms: R TEMPORAL PULSE Row type: Data Value type: Custom List Allow copy forward Display all list choices in Navigator
L Temporal Pulse (Hidden by default)	List	List	+
List options: +1=Weak +2=Moderate +3=Strong +4=Bounding Doppler Absent UTA=Unable to assess Other (Comment) Synonyms: L TEMPORAL PULSE Row type: Data Value type: Custom List Allow copy forward Display all list choices in Navigator
R Brachial Pulse (Hidden by default)	List	List	+
List options: +1=Weak +2=Moderate +3=Strong +4=Bounding Doppler Absent UTA=Unable to assess Other (Comment) Palpable Present Synonyms: RIGHT BRACHIAL PULSE Row type: Data Value type: Custom List Allow completion Allow copy forward Display all list choices in Navigator Add to all templates where this row is start removed
L Brachial Pulse (Hidden by default)	List	List	+
List options: +1=Weak +2=Moderate +3=Strong +4=Bounding Doppler Absent UTA=Unable to assess Other (Comment) Palpable Present Synonyms: LEFT BRACHIAL PULSE Row type: Data Value type: Custom List Allow completion Allow copy forward Display all list choices in Navigator Add to all templates where this row is start removed
R Radial Pulse (Hidden by default)	List	List	+
List options: +1=Weak +2=Moderate +3=Strong +4=Bounding Doppler Absent UTA=Unable to assess Other (Comment) Palpable Present Synonyms: RIGHT RADIAL PULSE Row type: Data Value type: Custom List Allow completion Allow copy forward Display all list choices in Navigator Add to all templates where this row is start removed
L Radial Pulse (Hidden by default)	List	List	+
List options: +1=Weak +2=Moderate +3=Strong +4=Bounding Doppler Absent UTA=Unable to assess Other (Comment) Palpable Present Synonyms: LEFT RADIAL PULSE Row type: Data Value type: Custom List Allow completion Allow copy forward Display all list choices in Navigator Add to all templates where this row is start removed
R Ulnar Pulse (Hidden by default)	List	List	+
List options: +1=Weak +2=Moderate +3=Strong +4=Bounding Doppler Absent UTA=Unable to assess Other (Comment) Palpable Present Synonyms: RIGHT ULNAR PULSE Row type: Data Value type: Custom List Allow completion Allow copy forward Display all list choices in Navigator Add to all templates where this row is start removed
L Ulnar Pulse (Hidden by default)	List	List	+
List options: +1=Weak +2=Moderate +3=Strong +4=Bounding Doppler Absent UTA=Unable to assess Other (Comment) Palpable Present Synonyms: LEFT ULNAR PULSE Row type: Data Value type: Custom List Allow completion Allow copy forward Display all list choices in Navigator Add to all templates where this row is start removed
R Femoral Pulse (Hidden by default)	List	List	+
List options: +1=Weak +2=Moderate +3=Strong +4=Bounding Doppler Absent UTA=Unable to assess Other (Comment) Palpable Present Synonyms: RIGHT FEMORAL PULSE Row type: Data Value type: Custom List Allow completion Allow copy forward Display all list choices in Navigator Add to all templates where this row is start removed
L Femoral Pulse (Hidden by default)	List	List	+
List options: +1=Weak +2=Moderate +3=Strong +4=Bounding Doppler Absent UTA=Unable to assess Other (Comment) Palpable Present Synonyms: LEFT FEMORAL PULSE Row type: Data Value type: Custom List Allow completion Allow copy forward Display all list choices in Navigator Add to all templates where this row is start removed
R Popliteal Pulse (Hidden by default)	List	List	+
List options: +1=Weak +2=Moderate +3=Strong +4=Bounding Doppler Absent UTA=Unable to assess Other (Comment) Palpable Present Synonyms: R POPLITEAL PULSE Row type: Data Value type: Custom List Allow completion Allow copy forward Display all list choices in Navigator Add to all templates where this row is start removed
L Popliteal Pulse (Hidden by default)	List	List	+
List options: +1=Weak +2=Moderate +3=Strong +4=Bounding Doppler Absent UTA=Unable to assess Other (Comment) Palpable Present Synonyms: LEFT POPLITEAL PULSE Row type: Data Value type: Custom List Allow completion Allow copy forward Display all list choices in Navigator Add to all templates where this row is start removed
R Posterior Tibial Pulse (Hidden by default)	List	List	+
List options: +1=Weak +2=Moderate +3=Strong +4=Bounding Doppler Absent UTA=Unable to assess Other (Comment) Palpable Present Synonyms: R POST TIBIAL PULSE Row type: Data Value type: Custom List Allow completion Allow copy forward Display all list choices in Navigator Add to all templates where this row is start removed
L Posterior Tibial Pulse (Hidden by default)	List	List	+
List options: +1=Weak +2=Moderate +3=Strong +4=Bounding Doppler Absent UTA=Unable to assess Other (Comment) Palpable Present Synonyms: LEFT POST-TIBIAL PULSE Row type: Data Value type: Custom List Allow completion Allow copy forward Display all list choices in Navigator Add to all templates where this row is start removed
R Pedal Pulse (Hidden by default)	List	List	+
List options: +1=Weak +2=Moderate +3=Strong +4=Bounding Doppler Absent UTA=Unable to assess Other (Comment) Palpable Present Synonyms: R PEDAL PULSE Row type: Data Value type: Custom List Allow completion Allow copy forward Display all list choices in Navigator Add to all templates where this row is start removed
L Pedal Pulse (Hidden by default)	List	List	+
List options: +1=Weak +2=Moderate +3=Strong +4=Bounding Doppler Absent UTA=Unable to assess Other (Comment) Palpable Present Synonyms: LEFT PEDAL PULSE Row type: Data Value type: Custom List Allow completion Allow copy forward Display all list choices in Navigator Add to all templates where this row is start removed
Arterial Sheath (Hidden by default)			Duplicable
Arterial Sheath Properties (Hidden by default)	Properties Group	Properties Group	+
Sheath Size* Line Orientation* Sheath Insertion Site* Sutured Inserted by Local Anesthetic Site Prep Free Flowing Blood Return Removal Reason Initial Post Removal Site Assessment Synonyms: ARTERIAL SHEATH PROPERTIES Comments: Added a new Site Prep row which has the option for betadine. Row type: Properties Group Allow completion *Changes LDA Group name
Site Assessment (Hidden by default)	List	List	+
List options: Reassessment- no changes Clean Dry Intact Bleeding Crepitus Draining Ecchymotic Edematous Extravasated Leaking Painful Pink Positional Red Red Streak Swelling Tender Venous Cord Palpable Not assessed Other (Comment) Synonyms: SITE ASSESSMENT Row type: Data Value type: Custom List Allow completion Allow copy forward Display all list choices in Navigator Multi-select Add to all templates where this row is start removed *Changes LDA Group name
Line Status (Hidden by default)	List	List	+
List options: Arterial fluids per protocol Intact and in place Blood return noted Positional Clotted Leaking No blood return Other (Comment) Synonyms: INTRA AORTIC BALLOON PUMP Row type: Data Value type: Custom List Allow completion Allow copy forward Display all list choices in Navigator Multi-select *Changes LDA Group name
Dressing (Hidden by default)	List	List	+
List options: Non-occlusive Occlusive Antimicrobial patch Other (Comment) Synonyms: INTRA AORTIC BALLOON PUMP Row type: Data Value type: Custom List Allow completion Allow copy forward Display all list choices in Navigator Multi-select *Changes LDA Group name
Dressing Status (Hidden by default)	List	List	+
List options: Clean Dry Intact New drainage Old drainage Other (Comment) Synonyms: INTRA AORTIC BALLOON PUMP Row type: Data Value type: Custom List Allow completion Allow copy forward Display all list choices in Navigator Multi-select *Changes LDA Group name
Dressing Intervention (Hidden by default)	List	List	+
List options: New dressing Antimicrobial patch changed Neutral/positive pressure valve caps changed Dressing changed Dressing reinforced Removed Other (Comment) Synonyms: DRESSING INTERVENTION Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator Multi-select Add to all templates where this row is start removed *Changes LDA Group name
Dressing Change Due (Hidden by default)	Date	Date	+
Row information: Enter the date the next dressing change is due. Row type: Data Value type: Date Allow completion Add to all templates where this row is start removed *Changes LDA Group name
Color/Movement/Sensation (Hidden by default)	List	List	+
List options: Capillary refill less than 3 sec Cool fingers/toes Capillary refill greater than 3 sec Dusky fingers/toes Numbness to fingers/toes Pale fingers/toes Tingling to fingers/toes Weakness to fingers/toes Other (Comment) Synonyms: COLOR/MOVEMENT/SENSATION Row type: Data Value type: Custom List Allow completion Allow copy forward Display all list choices in Navigator Multi-select Add to all templates where this row is start removed *Changes LDA Group name
Post Sheath Removal Complications (Hidden by default)	List	List	+
List options: Bleeding Bruising Draining Hematoma Redness Swelling Other (Comment) Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator Multi-select *Changes LDA Group name
Interventions (Hidden by default)	List	List	+
List options: Pressure dressing applied MD notified Labs drawn X-ray Sand bag Other (Comment) Synonyms: INTRA AORTIC BALLOON PUMP Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator Multi-select *Changes LDA Group name
Venous Sheath (Hidden by default)			Duplicable
Arterial Sheath Properties (Hidden by default)	Properties Group	Properties Group	+
Sheath Size* Line Orientation* Sheath Insertion Site* Sutured Inserted by Local Anesthetic Site Prep Free Flowing Blood Return Removal Reason Initial Post Removal Site Assessment Synonyms: ARTERIAL SHEATH PROPERTIES Comments: Added a new Site Prep row which has the option for betadine. Row type: Properties Group Allow completion *Changes LDA Group name
Site Assessment (Hidden by default)	List	List	+
List options: Reassessment- no changes Clean Dry Intact Bleeding Crepitus Draining Ecchymotic Edematous Extravasated Leaking Painful Pink Positional Red Red Streak Swelling Tender Venous Cord Palpable Not assessed Other (Comment) Synonyms: SITE ASSESSMENT Row type: Data Value type: Custom List Allow completion Allow copy forward Display all list choices in Navigator Multi-select Add to all templates where this row is start removed *Changes LDA Group name
Line Status (Hidden by default)	List	List	+
List options: Arterial fluids per protocol Intact and in place Blood return noted Positional Clotted Leaking No blood return Other (Comment) Synonyms: INTRA AORTIC BALLOON PUMP Row type: Data Value type: Custom List Allow completion Allow copy forward Display all list choices in Navigator Multi-select *Changes LDA Group name
Dressing (Hidden by default)	List	List	+
List options: Non-occlusive Occlusive Antimicrobial patch Other (Comment) Synonyms: INTRA AORTIC BALLOON PUMP Row type: Data Value type: Custom List Allow completion Allow copy forward Display all list choices in Navigator Multi-select *Changes LDA Group name
Dressing Status (Hidden by default)	List	List	+
List options: Clean Dry Intact New drainage Old drainage Other (Comment) Synonyms: INTRA AORTIC BALLOON PUMP Row type: Data Value type: Custom List Allow completion Allow copy forward Display all list choices in Navigator Multi-select *Changes LDA Group name
Dressing Intervention (Hidden by default)	List	List	+
List options: New dressing Antimicrobial patch changed Neutral/positive pressure valve caps changed Dressing changed Dressing reinforced Removed Other (Comment) Synonyms: DRESSING INTERVENTION Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator Multi-select Add to all templates where this row is start removed *Changes LDA Group name
Dressing Change Due (Hidden by default)	Date	Date	+
Row information: Enter the date the next dressing change is due. Row type: Data Value type: Date Allow completion Add to all templates where this row is start removed *Changes LDA Group name
Color/Movement/Sensation (Hidden by default)	List	List	+
List options: Capillary refill less than 3 sec Cool fingers/toes Capillary refill greater than 3 sec Dusky fingers/toes Numbness to fingers/toes Pale fingers/toes Tingling to fingers/toes Weakness to fingers/toes Other (Comment) Synonyms: COLOR/MOVEMENT/SENSATION Row type: Data Value type: Custom List Allow completion Allow copy forward Display all list choices in Navigator Multi-select Add to all templates where this row is start removed *Changes LDA Group name
Post Sheath Removal Complications (Hidden by default)	List	List	+
List options: Bleeding Bruising Draining Hematoma Redness Swelling Other (Comment) Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator Multi-select *Changes LDA Group name
Interventions (Hidden by default)	List	List	+
List options: Pressure dressing applied MD notified Labs drawn X-ray Sand bag Other (Comment) Synonyms: INTRA AORTIC BALLOON PUMP Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator Multi-select *Changes LDA Group name
Post-Procedure Site Assessment
Site	List	List	+
List options: R Femoral Site L Femoral Site R Radial Site L Radial site R Brachial Site L Brachial Site R Chest L Chest Mid Chest R Neck Site L Neck Site R Popliteal Site L Popliteal Site Synonyms: SITE Row type: Data Value type: Custom List Allow completion Multi-select Condition: R Femoral site Condition: Condition: Default groups/rows added when conditions are met L Femoral Site Condition: Default groups/rows added when conditions are met R Radial Site Condition: Default groups/rows added when conditions are met L Radial Site Condition: Default groups/rows added when conditions are met R Brachial Site Condition: Default groups/rows added when conditions are met L Brachial Site Condition: Default groups/rows added when conditions are met R Chest Condition: Default groups/rows added when conditions are met L Chest Condition: Default groups/rows added when conditions are met Mid Chest Condition: Default groups/rows added when conditions are met Right Neck Site Condition: Default groups/rows added when conditions are met Left Neck Site Condition: Default groups/rows added when conditions are met Right Popliteal Site
R Femoral Site (Hidden by default)	List	List	+
List options: Dressing CDI Ecchymosis Hematoma Hemostasis Achieved No ecchymosis No hematoma Soft and flat Angioseal present Tegederm present Scant drainage Moderate drainage Large Drainage No change to drainage Other (comment) Synonyms: R FEMORAL SITE Row type: Data Value type: Custom List Multi-select
L Femoral Site (Hidden by default)	List	List	+
List options: Dressing CDI Ecchymosis Hematoma Hemostasis achieved No ecchymosis No hematoma Soft and flat Angioseal present Tegedrem present Scant drainage Moderate drainage Large drainage No change to drainage Other (comment) Synonyms: L FEMORAL SITE Row type: Data Value type: Custom List Multi-select
R Radial Site (Hidden by default)	List	List	+
List options: Dressing CDI Ecchymosis Hematoma Hemostasis achieved No ecchymosis No hematoma Soft and flat Angioseal present Tegederm present Scant drainage Moderate drainage Large drainage No change to drainage Other (comment) Synonyms: R RADIAL SITE Row type: Data Value type: Custom List Multi-select
L Radial Site (Hidden by default)	List	List	+
List options: Dressing CDI Ecchymosis Hematoma Hemostasis achieved No ecchymosis No hematoma Soft and flat Angioseal present Tegederm present Scant drainage Moderate drainage Large drainage No change to drainage Other (comment) Synonyms: L RADIAL SITE Row type: Data Value type: Custom List Multi-select
R Brachial Site (Hidden by default)	List	List	+
List options: Dressing CDI Ecchymosis Hematoma Hemostasis achieved No ecchymosis No hematoma Soft and flat Angioseal present Tegederm present Scant drainage Moderate drainage Large drainage No change to drainage Other (comment) Synonyms: R BRACHIAL SITE Row type: Data Value type: Custom List Multi-select
L Brachial Site (Hidden by default)	List	List	+
List options: Dressing CDI Ecchymosis Hematoma Hemostasis achieved No ecchymosis No hematoma Soft and flat Angioseal present Tegederm present Scant drainage Moderate drainage Large drainage No change to drainage Other (comment) Synonyms: L BRACHIAL SITE Row type: Data Value type: Custom List Multi-select
R Chest (Hidden by default)	List	List	+
List options: With dermabond With dressing - CDI Hemostasis achieved Other (comment) Synonyms: SITE ASSESSMENT Row type: Data Value type: Custom List Multi-select
L Chest (Hidden by default)	List	List	+
List options: With dermabond With dressing - CDI Hemostasis achieved Other (comment) Synonyms: SITE ASSESSMENT Row type: Data Value type: Custom List Multi-select
Mid Chest (Hidden by default)	List	List	+
List options: With dermabond With dressing - CDI Hemostasis achieved Other (comment) Synonyms: SITE ASSESSMENT Row type: Data Value type: Custom List Multi-select
Right Neck Site (Hidden by default)	List	List	+
List options: Dressing CDI Ecchymosis Hematoma Hemostasis achieved No ecchymosis No hematoma Soft and flat Other (comment) Synonyms: RIGHT NECK SITE, RIGHT NECK Row type: Data Value type: Custom List Multi-select
Left Neck Site (Hidden by default)	List	List	+
List options: Dressing CDI Ecchymosis Hematoma Hemostasis achieved No ecchymosis No hematoma Soft and flat Other (comment) Synonyms: LEFT NECK SITE Row type: Data Value type: Custom List Multi-select
Right Popliteal Site (Hidden by default)	List	List	+
List options: Dressing CDI Ecchymosis Hematoma Hemostasis achieved No ecchymosis No hematoma Soft and flat Other (comment) Synonyms: RIGHT POPLITEAL SITE Row type: Data Value type: Custom List Multi-select
Left Popliteal Site (Hidden by default)	List	List	+
List options: Dressing CDI Ecchymosis Hematoma Hemostasis achieved No ecchymosis No hematoma Soft and flat Other (comment) Synonyms: LEFT POPLITEAL SITE Row type: Data Value type: Custom List Multi-select
Removed	List	List	+
List options: Yes Synonyms: REMOVED Row type: Data Value type: Custom List Condition: Yes
Bleeding Controlled Method (Hidden by default)	List	List	+
List options: Manual pressure Mechanical device Pressure dressing Synonyms: BLEEDING CONTROLLED METHOD Row type: Data Value type: Custom List Multi-select
Hemostasis Achieved (Hidden by default)	List	List	+
List options: Yes Synonyms: HEMOSTASIS ACHIEVED Row type: Data Value type: Custom List
Weaning
Weaning Start Day	Date	Date	+
Synonyms: WEANING START DAY Row type: Data Value type: Date
Weaning Start Time	Time	Time	+
Synonyms: WEANING START TIME Row type: Data Value type: Time
P-Level	List	List	+
List options: P-0 P-1 P-2 P-3 P-4 P-5 P-6 P-7 P-8 P-9 Row information: Impella Performance Level at Weaning Synonyms: P-LEVEL, PERFORMANCE LEVEL, WEANING Row type: Data Value type: Custom List Show abbreviation Allow completion Display all list choices in Navigator Can be graphed
Flow (L/min)	Number	Number	+
Unit: L/min Row information: Impella Flow at Weaning Synonyms: FLOW (L/MIN), PERFORMANCE LEVEL, WEANING Row type: Data Value type: Numeric Type Allow completion Can be graphed

There are no rows to display.

JCL IMPELLA