SCL ECMO

Show hidden and conditional rows

Impella	7/1/2020
	1100	1400
Impella Set-Up
Initial Impella Setup	List	List	+
List options: Yes No Row type: Data Value type: Custom List Condition: Yes
Which Impella was inserted? (Hidden by default)	List	List	+
List options: Impella CP Impella RP Impella 5.0 Impella 5.5 Synonyms: WHICH IMPELLA WAS INSERTED? Row type: Data Value type: Custom List Allow completion Condition: Impella CP Condition: Default groups/rows added when conditions are met Impella CP Controls Impella CP Pump Serial # Time Impella CP on Performance Level Flow (L/min) Placement Signal (mm Hg) Motor Current (Amps) Impella Pump Position Purge Pressure (mmHg) Power PTT Marking at Hub Plugged into RED outlet Condition: Default groups/rows added when conditions are met Impella RP Impella RP Controls Impella RP Pump Serial # Time Impella RP on Performance Level Flow (L/min) Placement Signal (mm Hg) Motor Current (Amps) Impella Pump Position Purge Pressure (mmHg) Power PTT Marking at Hub Plugged into RED outlet Condition: Default groups/rows added when conditions are met Impella 5.5 Impella 5.0 Controls Impella 5.0 Pump Serial # Time Impella 5.0 on Performance Level Flow (L/min) Placement Signal (mm Hg) Motor Current (Amps) Impella Pump Position Purge Pressure (mmHg) Power PTT Marking at Hub Plugged into RED outlet
Impella CP Controls (Hidden by default)
Impella CP Pump Serial # (Hidden by default)	Free Text	Free Text	+
Synonyms: IMPELLA PUMP (LEFT) SERIAL #, IMPELLA PUMP SERIAL #, IMPELLA CP PUMP SERIAL # Row type: Data Value type: String Type Allow completion
Time Impella CP on (Hidden by default)	Time	Time	+
Synonyms: TIME IMPELLA ON, TIME IMPELLA CP ON Row type: Data Value type: Time Allow completion
Performance Level (Hidden by default)	List	List	+
List options: P0 P1 P2 P3 P4 P5 P6 P7 P8 P9 Synonyms: PERFORMANCE LEVEL Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator Can be graphed
Flow (L/min) (Hidden by default)	Number	Number	+
List options: Unit: L/min Row type: Data Value type: Numeric Type Allow completion Can be graphed
Placement Signal (mm Hg) (Hidden by default)	Blood Pressure	Blood Pressure	+
Unit: mm Hg Row type: Data Value type: Blood Pressure Can be graphed
Motor Current (Amps) (Hidden by default)	Number	Number	+
Unit: Amps Synonyms: MOTOR CURRENT (AMPS) Row type: Data Value type: Numeric Type Allow completion Can be graphed
Impella Pump Position (Hidden by default)	Free Text	Free Text	+
List options: Synonyms: IMPELLA PUMP POSITION Row type: Data Value type: String Type Allow completion
Purge Pressure (mmHg) (Hidden by default)	Number	Number	+
Unit: mm Hg Synonyms: PURGE PRESSURE (MMHG) Row type: Data Value type: Numeric Type Allow completion Can be graphed
Power (Hidden by default)	List	List	+
List options: A/C Battery Synonyms: POWER Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator
PTT (Hidden by default)	List	List	+
List options: Grade 1=> 1 - 1.5 x ULN Grade 2=> 1.5 - 2 x ULN Grade 3=> 2 x ULN Row information: ALSO CONSIDER: Hemorrhage, CNS; Hemorrhage, GI - Select; Hemorrhage, GU - Select; Hemorrhage, pulmonary/upper respiratory - Select. Synonyms: PTT Row type: Data Value type: Custom List Show abbreviation Allow completion Add to all templates where this row is start removed
Marking at Hub (Hidden by default)	Number	Number	+
Row type: Data Value type: Numeric Type Allow completion Can be graphed
Plugged into RED outlet (Hidden by default)	List	List	+
List options: Yes No (Comment) Synonyms: PLUGGED INTO RED OUTLET Row type: Data Value type: Custom List Allow completion
Impella CP (Hidden by default)			Duplicable
Impella CP Properties (Hidden by default)	Properties Group	Properties Group	+
Insertion Site Inserted by PQRS Measures Followed: Sterile Technique Followed Sutured Balloon Size Verification by X-ray Removed By Removal Reason Initial Post Removal Assessment Time Pressure Held Synonyms: IMPELLA PROPERTIES, IMPELLA CP PROPERTIES Row type: Properties Group Allow completion
Site Observation (Hidden by default)	List	List	+
List options: Clean, dry, intact, with no signs of redness, swelling or blanching Clean Dry Intact Bleeding Draining Drainage Ecchymotic Edematous Extravasated Leaking Painful Pink Positional Red Streaking Tender Unable to view (Comment) Other (Comment) Synonyms: SITE ASSESSMENT 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
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 Display all list choices in Navigator Multi-select
Treatment(Retired) (Hidden by default)	List	List	+
List options: Head of bed flat Leg movement deterrent off Leg movement deterrent on Other (Comment) Synonyms: INTRA AORTIC BALLOON PUMP Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator
Dressing (Hidden by default)	List	List	+
List options: Non-occlusive Occlusive Other (Comment) Synonyms: INTRA AORTIC BALLOON PUMP Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator
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 Display all list choices in Navigator Multi-select
Dressing Intervention (Hidden by default)	List	List	+
List options: Changed Reinforced Removed Other (Comment) Synonyms: DRESSING INTERVENTION Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator Task template: WOUND DRESSING CHANGE TASK TEMPLATE Add to all templates where this row is start removed
Next Dressing Change Due (Hidden by default)	Date	Date	+
Row information: Enter the date the next dressing change is due. Synonyms: NEXT DRESSING CHANGE DUE Row type: Data Value type: Date Allow completion Add to all templates where this row is start removed
Art Line Interventions (Hidden by default)	List	List	+
List options: Zeroed and calibrated Leveled Tubing changed Connections checked and tightened Other (Comment) Synonyms: ART LINE CARE 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
Color/Movement/Sensation (Hidden by default)	List	List	+
List options: Capillary refill less than 3 sec Cool toes Capillary refill greater than 3 sec Dusky toes Numbness to toes Pale toes Tingling to toes Weakness to toes Other (Comment) Synonyms: COLOR/MOVEMENT/SENSATION Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator Multi-select
Post Removal Complications (Hidden by default)	List	List	+
List options: None Tamponade Bleeding Bruising Draining Redness Swelling Other (Comment) Synonyms: INTRA AORTIC BALLOON PUMP, VENTRICULAR ASSIST DEVICE 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: 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
Impella RP Controls (Hidden by default)
Impella RP Pump Serial # (Hidden by default)	Free Text	Free Text	+
Synonyms: IMPELLA PUMP (LEFT) SERIAL #, IMPELLA PUMP SERIAL #, IMPELLA CP PUMP SERIAL #, IMPELLA RP PUMP SERIAL # Row type: Data Value type: String Type Allow completion
Time Impella RP on (Hidden by default)	Time	Time	+
Synonyms: TIME IMPELLA ON, TIME IMPELLA RP ON Row type: Data Value type: Time Allow completion
Performance Level (Hidden by default)	List	List	+
List options: P0 P1 P2 P3 P4 P5 P6 P7 P8 P9 Synonyms: PERFORMANCE LEVEL, PERFORMANCE LEVEL (2ND SITE) Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator Can be graphed
Flow (L/min) (Hidden by default)	Number	Number	+
Unit: L/min Synonyms: FLOW (L/MIN)- 2ND SITE, FLOW (L/MIN)- (2ND SITE), FLOW (L/MIN)-, FLOW (L/MIN) Row type: Data Value type: Numeric Type Allow completion Can be graphed
Placement Signal (mm Hg) (Hidden by default)	Blood Pressure	Blood Pressure	+
Unit: mm Hg Synonyms: PLACEMENT SIGNAL (MM HG)- 2ND SITE, PLACEMENT SIGNAL (MM HG)- (2ND SITE), PLACEMENT SIGNAL (MM HG) Row type: Data Value type: Blood Pressure Can be graphed
Motor Current (Amps) (Hidden by default)	Number	Number	+
Unit: Amps Synonyms: MOTOR CURRENT (AMPS), MOTOR CURRENT (AMPS)-2ND SITE, MOTOR CURRENT (AMPS)- (2ND SITE) Row type: Data Value type: Numeric Type Allow completion Can be graphed
Impella Pump Position (Hidden by default)	Free Text	Free Text	+
Synonyms: IMPELLA PUMP POSITION, IMPELLA PUMP POSITION- 2ND SITE, IMPELLA PUMP POSITION- (2ND SITE) Row type: Data Value type: String Type Allow completion
Purge Pressure (mmHg) (Hidden by default)	Number	Number	+
Unit: mm Hg Synonyms: PURGE PRESSURE (MMHG), PURGE PRESSURE (MMHG)-RIGHT, PURGE PRESSURE (MMHG)-2ND SITE, PURGE PRESSURE (MMHG)- (2ND SITE) Row type: Data Value type: Numeric Type Allow completion Can be graphed
Power (Hidden by default)	List	List	+
List options: A/C Battery Synonyms: POWER, POWER (2ND SITE) Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator
PTT (Hidden by default)	List	List	+
List options: Grade 1=> 1 - 1.5 x ULN Grade 2=> 1.5 - 2 x ULN Grade 3=> 2 x ULN Row information: ALSO CONSIDER: Hemorrhage, CNS; Hemorrhage, GI - Select; Hemorrhage, GU - Select; Hemorrhage, pulmonary/upper respiratory - Select. Synonyms: PTT Row type: Data Value type: Custom List Show abbreviation Allow completion Add to all templates where this row is start removed
Marking at Hub (Hidden by default)	Number	Number	+
Synonyms: MARKING AT HUB (2ND SITE), MARKING AT HUB Row type: Data Value type: Numeric Type Allow completion Can be graphed
Plugged into RED outlet (Hidden by default)	List	List	+
List options: Yes No (Comment) Synonyms: PLUGGED INTO RED OUTLET, PLUGGED INTO RED OUTLET (2ND SITE) Row type: Data Value type: Custom List Allow completion
Impella RP (Hidden by default)			Duplicable
Impella RP Properties (Hidden by default)	Properties Group	Properties Group	+
Insertion Site Inserted by PQRS Measures Followed: Sterile Technique Followed Sutured Balloon Size Verification by X-ray Removed By Removal Reason Initial Post Removal Assessment Time Pressure Held Synonyms: IMPELLA PROPERTIES, IMPELLA RP PROPERTIES Row type: Properties Group Allow completion
Site Observation (Hidden by default)	List	List	+
List options: Clean, dry, intact, with no signs of redness, swelling or blanching Clean Dry Intact Bleeding Draining Drainage Ecchymotic Edematous Extravasated Leaking Painful Pink Positional Red Streaking Tender Unable to view (Comment) Other (Comment) Synonyms: SITE ASSESSMENT 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
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 Display all list choices in Navigator Multi-select
Treatment(Retired) (Hidden by default)	List	List	+
List options: Head of bed flat Leg movement deterrent off Leg movement deterrent on Other (Comment) Synonyms: INTRA AORTIC BALLOON PUMP Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator
Dressing (Hidden by default)	List	List	+
List options: Non-occlusive Occlusive Other (Comment) Synonyms: INTRA AORTIC BALLOON PUMP Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator
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 Display all list choices in Navigator Multi-select
Dressing Intervention (Hidden by default)	List	List	+
List options: Changed Reinforced Removed Other (Comment) Synonyms: DRESSING INTERVENTION Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator Task template: WOUND DRESSING CHANGE TASK TEMPLATE Add to all templates where this row is start removed
Next Dressing Change Due (Hidden by default)	Date	Date	+
Row information: Enter the date the next dressing change is due. Synonyms: NEXT DRESSING CHANGE DUE Row type: Data Value type: Date Allow completion Add to all templates where this row is start removed
Art Line Interventions (Hidden by default)	List	List	+
List options: Zeroed and calibrated Leveled Tubing changed Connections checked and tightened Other (Comment) Synonyms: ART LINE CARE 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
Color/Movement/Sensation (Hidden by default)	List	List	+
List options: Capillary refill less than 3 sec Cool toes Capillary refill greater than 3 sec Dusky toes Numbness to toes Pale toes Tingling to toes Weakness to toes Other (Comment) Synonyms: COLOR/MOVEMENT/SENSATION Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator Multi-select
Post Removal Complications (Hidden by default)	List	List	+
List options: None Tamponade Bleeding Bruising Draining Redness Swelling Other (Comment) Synonyms: INTRA AORTIC BALLOON PUMP, VENTRICULAR ASSIST DEVICE 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: 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
Impella 5.0 Controls (Hidden by default)
Impella 5.0 Pump Serial # (Hidden by default)	Free Text	Free Text	+
Synonyms: IMPELLA PUMP (LEFT) SERIAL #, IMPELLA PUMP SERIAL #, IMPELLA CP PUMP SERIAL #, IMPELLA RP PUMP SERIAL #, IMPELLA 5.0 PUMP SERIAL # Row type: Data Value type: String Type Allow completion
Time Impella 5.0 on (Hidden by default)	Time	Time	+
Synonyms: TIME IMPELLA ON, TIME IMPELLA RP ON, TIME IMPELLA 5.0 ON Row type: Data Value type: Time Allow completion
Performance Level (Hidden by default)	List	List	+
List options: P0 P1 P2 P3 P4 P5 P6 P7 P8 P9 Synonyms: PERFORMANCE LEVEL, PERFORMANCE LEVEL (2ND SITE) Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator Can be graphed
Flow (L/min) (Hidden by default)	Number	Number	+
Unit: L/min Synonyms: FLOW (L/MIN)- 2ND SITE, FLOW (L/MIN)- (2ND SITE), FLOW (L/MIN)-, FLOW (L/MIN) Row type: Data Value type: Numeric Type Allow completion Can be graphed
Placement Signal (mm Hg) (Hidden by default)	Blood Pressure	Blood Pressure	+
Unit: mm Hg Synonyms: PLACEMENT SIGNAL (MM HG)- 2ND SITE, PLACEMENT SIGNAL (MM HG)- (2ND SITE), PLACEMENT SIGNAL (MM HG) Row type: Data Value type: Blood Pressure Can be graphed
Motor Current (Amps) (Hidden by default)	Number	Number	+
Unit: Amps Synonyms: MOTOR CURRENT (AMPS), MOTOR CURRENT (AMPS)-2ND SITE, MOTOR CURRENT (AMPS)- (2ND SITE) Row type: Data Value type: Numeric Type Allow completion Can be graphed
Impella Pump Position (Hidden by default)	Free Text	Free Text	+
Synonyms: IMPELLA PUMP POSITION, IMPELLA PUMP POSITION- 2ND SITE, IMPELLA PUMP POSITION- (2ND SITE) Row type: Data Value type: String Type Allow completion
Purge Pressure (mmHg) (Hidden by default)	Number	Number	+
Unit: mm Hg Synonyms: PURGE PRESSURE (MMHG), PURGE PRESSURE (MMHG)-RIGHT, PURGE PRESSURE (MMHG)-2ND SITE, PURGE PRESSURE (MMHG)- (2ND SITE) Row type: Data Value type: Numeric Type Allow completion Can be graphed
Power (Hidden by default)	List	List	+
List options: A/C Battery Synonyms: POWER, POWER (2ND SITE) Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator
PTT (Hidden by default)	List	List	+
List options: Grade 1=> 1 - 1.5 x ULN Grade 2=> 1.5 - 2 x ULN Grade 3=> 2 x ULN Row information: ALSO CONSIDER: Hemorrhage, CNS; Hemorrhage, GI - Select; Hemorrhage, GU - Select; Hemorrhage, pulmonary/upper respiratory - Select. Synonyms: PTT Row type: Data Value type: Custom List Show abbreviation Allow completion Add to all templates where this row is start removed
Marking at Hub (Hidden by default)	Number	Number	+
Synonyms: MARKING AT HUB (2ND SITE), MARKING AT HUB Row type: Data Value type: Numeric Type Allow completion Can be graphed
Plugged into RED outlet (Hidden by default)	List	List	+
List options: Yes No (Comment) Synonyms: PLUGGED INTO RED OUTLET, PLUGGED INTO RED OUTLET (2ND SITE) Row type: Data Value type: Custom List Allow completion
Impella 5.0 (Hidden by default)			Duplicable
Impella Properties (Hidden by default)	Properties Group	Properties Group	+
Insertion Site Inserted by PQRS Measures Followed: Sterile Technique Followed Sutured Balloon Size Verification by X-ray Removed By Removal Reason Initial Post Removal Assessment Time Pressure Held Synonyms: IMPELLA PROPERTIES Row type: Properties Group Allow completion
Site Observation (Hidden by default)	List	List	+
List options: Clean, dry, intact, with no signs of redness, swelling or blanching Clean Dry Intact Bleeding Draining Drainage Ecchymotic Edematous Extravasated Leaking Painful Pink Positional Red Streaking Tender Unable to view (Comment) Other (Comment) Synonyms: SITE ASSESSMENT 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
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 Display all list choices in Navigator Multi-select
Treatment(Retired) (Hidden by default)	List	List	+
List options: Head of bed flat Leg movement deterrent off Leg movement deterrent on Other (Comment) Synonyms: INTRA AORTIC BALLOON PUMP Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator
Dressing (Hidden by default)	List	List	+
List options: Non-occlusive Occlusive Other (Comment) Synonyms: INTRA AORTIC BALLOON PUMP Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator
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 Display all list choices in Navigator Multi-select
Dressing Intervention (Hidden by default)	List	List	+
List options: Changed Reinforced Removed Other (Comment) Synonyms: DRESSING INTERVENTION Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator Task template: WOUND DRESSING CHANGE TASK TEMPLATE Add to all templates where this row is start removed
Next Dressing Change Due (Hidden by default)	Date	Date	+
Row information: Enter the date the next dressing change is due. Synonyms: NEXT DRESSING CHANGE DUE Row type: Data Value type: Date Allow completion Add to all templates where this row is start removed
Art Line Interventions (Hidden by default)	List	List	+
List options: Zeroed and calibrated Leveled Tubing changed Connections checked and tightened Other (Comment) Synonyms: ART LINE CARE 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
Color/Movement/Sensation (Hidden by default)	List	List	+
List options: Capillary refill less than 3 sec Cool toes Capillary refill greater than 3 sec Dusky toes Numbness to toes Pale toes Tingling to toes Weakness to toes Other (Comment) Synonyms: COLOR/MOVEMENT/SENSATION Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator Multi-select
Post Removal Complications (Hidden by default)	List	List	+
List options: None Tamponade Bleeding Bruising Draining Redness Swelling Other (Comment) Synonyms: INTRA AORTIC BALLOON PUMP, VENTRICULAR ASSIST DEVICE 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: 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
Impella 5.5 Controls (Hidden by default)
Impella 5.5 Pump Serial # (Hidden by default)	Free Text	Free Text	+
Synonyms: IMPELLA PUMP (LEFT) SERIAL #, IMPELLA PUMP SERIAL #, IMPELLA CP PUMP SERIAL #, IMPELLA RP PUMP SERIAL #, IMPELLA 5.0 PUMP SERIAL #, IMPELLA 5.5 PUMP SERIAL # Row type: Data Value type: String Type Allow completion
Time Impella 5.5 on (Hidden by default)	Time	Time	+
Synonyms: TIME IMPELLA ON, TIME IMPELLA RP ON, TIME IMPELLA 5.0 ON, TIME IMPELLA 5.5 ON Row type: Data Value type: Time Allow completion
Performance Level (Hidden by default)	List	List	+
List options: P0 P1 P2 P3 P4 P5 P6 P7 P8 P9 Synonyms: PERFORMANCE LEVEL, PERFORMANCE LEVEL (2ND SITE) Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator Can be graphed
Flow (L/min) (Hidden by default)	Number	Number	+
Unit: L/min Synonyms: FLOW (L/MIN)- 2ND SITE, FLOW (L/MIN)- (2ND SITE), FLOW (L/MIN)-, FLOW (L/MIN) Row type: Data Value type: Numeric Type Allow completion Can be graphed
Placement Signal (mm Hg) (Hidden by default)	Blood Pressure	Blood Pressure	+
Unit: mm Hg Synonyms: PLACEMENT SIGNAL (MM HG)- 2ND SITE, PLACEMENT SIGNAL (MM HG)- (2ND SITE), PLACEMENT SIGNAL (MM HG) Row type: Data Value type: Blood Pressure Can be graphed
Motor Current (Amps) (Hidden by default)	Number	Number	+
Unit: Amps Synonyms: MOTOR CURRENT (AMPS), MOTOR CURRENT (AMPS)-2ND SITE, MOTOR CURRENT (AMPS)- (2ND SITE) Row type: Data Value type: Numeric Type Allow completion Can be graphed
Impella Pump Position (Hidden by default)	Free Text	Free Text	+
Synonyms: IMPELLA PUMP POSITION, IMPELLA PUMP POSITION- 2ND SITE, IMPELLA PUMP POSITION- (2ND SITE) Row type: Data Value type: String Type Allow completion
Purge Pressure (mmHg) (Hidden by default)	Number	Number	+
Unit: mm Hg Synonyms: PURGE PRESSURE (MMHG), PURGE PRESSURE (MMHG)-RIGHT, PURGE PRESSURE (MMHG)-2ND SITE, PURGE PRESSURE (MMHG)- (2ND SITE) Row type: Data Value type: Numeric Type Allow completion Can be graphed
Power (Hidden by default)	List	List	+
List options: A/C Battery Synonyms: POWER, POWER (2ND SITE) Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator
PTT (Hidden by default)	List	List	+
List options: Grade 1=> 1 - 1.5 x ULN Grade 2=> 1.5 - 2 x ULN Grade 3=> 2 x ULN Row information: ALSO CONSIDER: Hemorrhage, CNS; Hemorrhage, GI - Select; Hemorrhage, GU - Select; Hemorrhage, pulmonary/upper respiratory - Select. Synonyms: PTT Row type: Data Value type: Custom List Show abbreviation Allow completion Add to all templates where this row is start removed
Marking at Hub (Hidden by default)	Number	Number	+
Synonyms: MARKING AT HUB (2ND SITE), MARKING AT HUB Row type: Data Value type: Numeric Type Allow completion Can be graphed
Plugged into RED outlet (Hidden by default)	List	List	+
List options: Yes No (Comment) Synonyms: PLUGGED INTO RED OUTLET, PLUGGED INTO RED OUTLET (2ND SITE) Row type: Data Value type: Custom List Allow completion
Impella Pump Infusion (Hidden by default)
Rate Impella pump Infusion: (Hidden by default)	Rate	Rate	+
Units abbreviation: mL/hr Synonyms: HEPARIN DOSE (UNITS/KG/HR) Row type: Extension Value type: Rate Allow completion Add to all templates where this row is start removed Can be graphed
Volume (mL) Impella Pump Infusion (Hidden by default)	Number	Number	+
Minimum value: 0 Unit: mL Synonyms: VOLUME (ML) Row type: Data Value type: Numeric Type Allow completion Add to all templates where this row is start removed Can be graphed
Impella 5.5 (Hidden by default)			Duplicable
Impella Properties (Hidden by default)	Properties Group	Properties Group	+
Insertion Site Inserted by PQRS Measures Followed: Sterile Technique Followed Sutured Balloon Size Verification by X-ray Removed By Removal Reason Initial Post Removal Assessment Time Pressure Held Synonyms: IMPELLA PROPERTIES Row type: Properties Group Allow completion
Site Observation (Hidden by default)	List	List	+
List options: Clean, dry, intact, with no signs of redness, swelling or blanching Clean Dry Intact Bleeding Draining Drainage Ecchymotic Edematous Extravasated Leaking Painful Pink Positional Red Streaking Tender Unable to view (Comment) Other (Comment) Synonyms: SITE ASSESSMENT 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
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 Display all list choices in Navigator Multi-select
Treatment(Retired) (Hidden by default)	List	List	+
List options: Head of bed flat Leg movement deterrent off Leg movement deterrent on Other (Comment) Synonyms: INTRA AORTIC BALLOON PUMP Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator
Dressing (Hidden by default)	List	List	+
List options: Non-occlusive Occlusive Other (Comment) Synonyms: INTRA AORTIC BALLOON PUMP Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator
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 Display all list choices in Navigator Multi-select
Dressing Intervention (Hidden by default)	List	List	+
List options: Changed Reinforced Removed Other (Comment) Synonyms: DRESSING INTERVENTION Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator Task template: WOUND DRESSING CHANGE TASK TEMPLATE Add to all templates where this row is start removed
Next Dressing Change Due (Hidden by default)	Date	Date	+
Row information: Enter the date the next dressing change is due. Synonyms: NEXT DRESSING CHANGE DUE Row type: Data Value type: Date Allow completion Add to all templates where this row is start removed
Art Line Interventions (Hidden by default)	List	List	+
List options: Zeroed and calibrated Leveled Tubing changed Connections checked and tightened Other (Comment) Synonyms: ART LINE CARE 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
Color/Movement/Sensation (Hidden by default)	List	List	+
List options: Capillary refill less than 3 sec Cool toes Capillary refill greater than 3 sec Dusky toes Numbness to toes Pale toes Tingling to toes Weakness to toes Other (Comment) Synonyms: COLOR/MOVEMENT/SENSATION Row type: Data Value type: Custom List Allow completion Display all list choices in Navigator Multi-select
Post Removal Complications (Hidden by default)	List	List	+
List options: None Tamponade Bleeding Bruising Draining Redness Swelling Other (Comment) Synonyms: INTRA AORTIC BALLOON PUMP, VENTRICULAR ASSIST DEVICE 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: 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
Pulses
R Pedal Pulse	List	List	+
List options: +1=Weak +2=Moderate +3=Strong +4=Bounding Doppler Absent UTA=Unable to assess Other (Comment) Synonyms: R PEDAL PULSE 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
L Pedal Pulse	List	List	+
List options: +1=Weak +2=Moderate +3=Strong +4=Bounding Doppler Absent UTA=Unable to assess Other (Comment) Synonyms: LEFT PEDAL PULSE 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

There are no rows to display.

IP IMPELLA RECORD-BH