EFTA00073856¶
| Inmate Name: | EPSTEIN, JEFFREY EDWARD |
| Date of Birth: | 01/20/1953 |
| Encounter Date: | 07/24/2019 13:08 |
Sex:¶
Provider:¶
| Reg #: | 76318-054 |
| Facility: | NYM |
| Unit: | H01 |
Follow-up at Sick Call as Needed¶
Handout/Topic¶
Access to Care¶
07/24/2019 Counseling¶
Preventive Health¶
| Copay Required:No | Cosign Required:Yes |
Telephone/Verbal Order: No¶
Completed by on 07/24/2019 13:24¶
Requested to be cosigned by¶
Cosign documentation will be displayed on the following page.¶
| Outcome |
|---|
| Verbalizes |
| Understanding |
| Verbalizes |
| Understanding |
Page 026 of 148¶
Withheld pursuant to exemption¶
(b)(6) ; (b)(7)(A) ; (b)(7)(C)¶
Freedom of Information and Privacy Act¶
Generated 07/24/2019 13:24 by¶
Bureau of Prisons - NYM¶
Page 2 of 2¶
EFTA00073857¶
Bureau of Prisons¶
Health Services Cosign/Review¶
Inmate Name: EPSTEIN, JEFFREY EDWARD¶
Date of Birth: 01/20/1953¶
Sex:¶
Provider:¶
Encounter Date: 07/24/2019 13:08¶
| Reg #: | 76318-054 |
| Race: | WHITE |
| Facility: | NYM |
Cosigned with New Encounter Note by¶
on 07/24/2019 16:10.¶
Page 027 of 148¶
Withheld pursuant to exemption¶
(b)(6) ; (b)(7)(A) ; (b)(7)(C)¶
freedom of Information and Privacy Act¶
of the Freedom of Information and Privacy Act¶
Bureau of Prisons - NYM¶
EFTA00073858¶
Bureau of Prisons Health Services Clinical Encounter¶
| Inmate Name: | EPSTEIN, JEFFREY EDWARD |¶
| :--- | :--- |¶
| Date of Birth: | 01/20/1953 |¶
| Encounter Date: | 07/23/2019 06:20 |¶
Sex:¶
Provider:¶
M Race: WHITE¶
| Reg #: | 76318-054 |
| Facility: | NYM |
| Unit: | H01 |
Injury Assessment - Non-work related encounter performed at Health Services.¶
SUBJECTIVE:¶
INJURY 1 Provider:¶
Date of Injury: 07/23/2019 01:27 Date Reported for Treatment: 07/23/2019 08:25¶
Work Related: No Work Assignment: UNASSG¶
Pain Location:¶
Pain Scale: 0¶
Pain Qualities:¶
Where Did Injury Happen (Be specific as to location):¶
Special Housing Unit Z05-Cell 124 L¶
Cause of Injury (Inmate’s Statement of how injury occurred):¶
“I do not know. Just went to drink a little water and wake up snorting”.¶
Symptoms (as reported by inmate):¶
None¶
Page 028 of 148¶
OBJECTIVE:¶
Temperature:¶
Withheld pursuant to exemption¶
| Date | Time | Fahrenheit | Celsius | Location | Provider |
| 07/23/2019 | 06:30 NYM | of the Freedom of Information and Privacy Act Y. MLP | |||
Pulse:¶
| Date | Time | Rate Per Minute | Location | Rhythm | Provider |
|---|---|---|---|---|---|
| 07/23/2019 | 06:30 | 92 | Via Machine | Regular |
Respirations:¶
| Date | Time | Rate Per Minute | Provider |
|---|---|---|---|
| 07/23/2019 | 06:30 NYM | 16 |
Blood Pressure:¶
| Date | Time | Value | Location | Position | Cuff Size | Provider |
| 07/23/2019 | 06:30 NYM | 140/85 | Right Arm | Sitting | Adult-regular |
SaO2:¶
| Date | Time | Value(%) | Air | Provider |
|---|---|---|---|---|
| 07/23/2019 | 06:30 NYM | 96 | Room Air |
Exam:¶
General¶
Affect¶
Yes: Cooperative¶
Appearance¶
| Yes: Appears Well, Alert and Oriented x 3 |
| No: Appears Distressed, Lethargic, Dyspneic, Appears in Pain, Pallor, Cyanotic, Diaphoretic, Disheveled, |
Generated 07/23/2019 09:05 by¶
Bureau of Prisons - NYM¶
Page 1 of 2¶
EFTA00073859¶
| Inmate Name: | EPSTEIN, JEFFREY EDWARD |
|---|---|
| Date of Birth: | 01/20/1953 |
| Encounter Date: | 07/23/2019 06:20 |
Sex: Provider:¶
| Reg #: | 76318-054 |
| Facility: | NYM |
| Unit: | H01 |
Exam:¶
Pulmonary¶
Exam Comments¶
Has an circular line of erythema at the base of the neck. Reaching 2/3 of the neck circumference, 2 inches wide, sparing the back of the neck. Has one section of this erythema in the front with marks of friction¶
As per information from custody staff inmate Epstein was found in his cell with a rope around his neck and sitting on the floor.¶
ASSESSMENT:¶
Page 029 of 148¶
Injury, unspecified, T1490 - Current - /O self inflicted injuries.¶
Withheld pursuant to exemption¶
PLAN:¶
(b)(6) ; (b)(7)(A) ; (b)(7)(C)¶
Disposition:¶
of the Freedom of Information and Privacy Act¶
Follow-up in 2-4 Hours¶
For follow up with psychology service.¶
Patient Education Topics:¶
Copay Required: No¶
Cosign Required: Yes¶
Telephone/Verbal Order: No¶
Completed by on 07/23/2019 09:05¶
Cosign documentation will be displayed on the following page.¶
Generated 07/23/2019 09:05 by¶
Bureau of Prisons - NYM¶
Page 2 of 2¶
EFTA00073860¶
Bureau of Prisons¶
Health Services Cosign/Review¶
Inmate Name: EPSTEIN, JEFFREY EDWARD¶
Date of Birth: 01/20/1953¶
Reg #: 76318-054¶
Sex:¶
Provider:¶
Encounter Date: 07/23/2019 06:20¶
Race: WHITE¶
Cosigned by¶
on 07/23/2019 15:44.¶
Facility: NYM¶
Withheld pursuant to exemption¶
(b) (6) ; (b)(7)(A) ; (b)(7)(C)¶
of the Freedom of Information and Privacy Act¶
Bureau of Prisons - NYM¶