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:¶
| Reg #: | 76318-054 |
| Facility: | NYM |
| Unit: | H01 |
Nursing - Follow up encounter performed at Health Services.¶
SUBJECTIVE:¶
COMPLAINT 1 Provider: RN¶
| Chief Complaint: | Neuropathy - Tingling/Numbness of Extremity(ies) |
| Subjective: | Inmate seen for F/U after returning from attorney conference offers no new complaints or worsening S/S stats "My hand still has pins and needles sometimes" No change in appearance from previous exam. |
| Pain: | No |
OBJECTIVE:¶
Pulse:¶
| Date | Time | Rate Per Minute | Location | Rhythm | Provider |
|---|---|---|---|---|---|
| 07/28/2019 | 20:28 | 81 | RN |
Respirations:¶
| Date | Time | Rate Per Minute | Provider |
| 07/28/2019 | 20:28 NYM | 14 | River 018-6142 |
Blood Pressure:¶
| Date | Time | Value | Location | Position | Cuff Size | Provider |
|---|---|---|---|---|---|---|
| 07/28/2019 | 20:28 NYM | 157/91 | (b)(6); (b)(7)(A); (b)(7)(C) | RN |
SaO2:¶
| Date | Time | Value(%) | Air |
|---|---|---|---|
| 07/28/2019 | 20:28 NYM | 98 |
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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