EFTA00073843

# Bureau of Prisons Health Services Clinical Encounter

| Inmate Name: | EPSTEIN, JEFFREY EDWARD |

| :--- | :--- |

| Date of Birth: | 01/20/1953 |

| Encounter Date: | 07/28/2019 20:25 |

Sex:

Provider:

<table border="1"><tr><td>Reg #:</td><td>76318-054</td></tr><tr><td>Facility:</td><td>NYM</td></tr><tr><td>Unit:</td><td>H01</td></tr></table>

Nursing - Follow up encounter performed at Health Services.

## SUBJECTIVE:



COMPLAINT 1 Provider: RN



<table border="1"><tr><td>Chief Complaint:</td><td>Neuropathy - Tingling/Numbness of Extremity(ies)</td></tr><tr><td>Subjective:</td><td>Inmate seen for F/U after returning from attorney conference offers no new complaints or worsening S/S stats &quot;My hand still has pins and needles sometimes&quot; No change in appearance from previous exam.</td></tr><tr><td>Pain:</td><td>No</td></tr></table>

## OBJECTIVE:

## Pulse:

<table><thead><tr><th>Date</th><th>Time</th><th>Rate Per Minute</th><th>Location</th><th>Rhythm</th><th>Provider</th></tr></thead><tbody><tr><td>07/28/2019</td><td>20:28</td><td>81</td><td></td><td></td><td>RN</td></tr></tbody></table>

## Respirations:

<table border="1"><tr><td>Date</td><td>Time</td><td>Rate Per Minute</td><td>Provider</td></tr><tr><td>07/28/2019</td><td>20:28 NYM</td><td>14</td><td>River 018-6142</td></tr></table>

## Blood Pressure:

<table><thead><tr><th>Date</th><th>Time</th><th>Value</th><th>Location</th><th>Position</th><th>Cuff Size</th><th>Provider</th></tr></thead><tbody><tr><td>07/28/2019</td><td>20:28 NYM</td><td>157/91</td><td></td><td>(b)(6); (b)(7)(A); (b)(7)(C)</td><td></td><td>RN</td></tr></tbody></table>



SaO2:


<table><thead><tr><th>Date</th><th>Time</th><th>Value(%)</th><th>Air</th></tr></thead><tbody><tr><td>07/28/2019</td><td>20:28 NYM</td><td>98</td><td></td></tr></tbody></table>

## Exam:

## General

Affect

Yes: Cooperative

# Appearance

Yes: Appears Well, Alert and Oriented x 3

Nutrition

Yes: Within Normal Limits

General

Yes: Within Normal Limits, Dry, Skin Intact

## ASSESSMENT:

No Significant Findings/No Apparent Distress

## PLAN:

Disposition:

To be Evaluated by Provider

Generated 07/28/2019 20:30 by

Bureau of Prisons - NYM

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