EFTA00110404¶
Bureau of Prisons¶
Health Services Inmate Local Hospital¶
| Reg#: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD | |
| SENSITIVE BUT UNCLASSIFIED – This information is confidential and must be appropriately safeguarded. | |
| Transfer To: | Transfer Date: 08/10/2019 |
| Health Problems | |
| Health Problem | Status |
| Hyperlipidemia, unspecified HYPERTRIGLYCERIDEMIA | Current |
| Sleep apnea | Current |
| Essential(primary) hypertension BY HX. | Current |
| Constipation, unspecified | Current |
| Low back pain | Current |
| Neuralgia and neuritis, unspecified | Current |
| No Diagnosis | Current |
| Prediabetes | Current |
| Injury, unspecified R/O self inflicted injuries. | Current |
| Body mass index(BMI)27.0-27.9, adult | Current |
Medications: All medications to be continued until evaluated by a physician unless otherwise indicated. Bolded drugs required for transport.¶
| Docusate Sodium 100 MG Cap Exp:08/11/2019 SIG:Take one capsule(100 MG)by mouth twice daily for30days |
| Docusate Sodium 100 MG Cap Exp:01/22/2020 SIG:Take one capsule(100 MG)twice daily bymouth with plenty of water |
| Milk of Magnesia Susp(OTC)(473ML)400MG/5ML Exp:10/28/2019 SIG:shake well take10mlbymouth twice daily AS NEEDED |
| Omega 3 (Vascepa) 1 GM Capsule | Exp: 01/13/2020 | SIG: Take two capsules (2 GM) twice daily by mouth with food |
OTCs: Listing of all known OTCs this inmate is currently taking.¶
None¶
Pending Appointments¶
| Date | Time | Activity | Provider |
| 07/24/2019 | 00:00 | Clinical Encounter | Optometrist |
| 01/07/2020 | 00:00 | Chronic Care Visit | Mid-Level Provider |
| 07/01/2020 | 00:00 | Chronic Care Visit | Physician 01 |
| 07/09/2020 | 00:00 | PPD Administration | Nurse |
Pending Non-Medication Orders:¶
| Order | Order Date | Frequency | Duration | Details |
| EKG | 07/06/2019 | One Time | 66 y/o male | |
| Fecal Occult Blood | 07/06/2019 | One Time | 3 different stools |
TB Clearance: Yes¶
| Last PPD Date: | 07/09/2019 | Induration: | 0mm |
| Last Chest X-Ray Date: | Results: | ||
| TB Treatment: | Sx free for 30 days: | Yes | |
| TB Follow-up Recommended: No | |||
Sickle Cell:¶
Sickle Cell Trait/Disease: No¶
Generated 08/10/2019 07:00 by¶
Page 1 of 2¶
RN¶
Bureau of Prisons - NYM¶
EFTA00110405¶
SENSITIVE BUT UNCLASSIFIED – This information is confidential and must be appropriately safeguarded.¶
Limitations/Restrictions/Diets:¶
- Cell: lower bunk --- 10/09/2019
- Cleared for Food Service: Yes
- Other diet restrictions: FISH ALLERGIES. --- 07/30/2020
Comments:¶
Allergies¶
No Known Allergies¶
Devices / Equipment¶
C-Pap¶
Travel:¶
- Direct Travel: No
- Travel Restrictions: None
UNIVERSAL PRECAUTIONS OBSERVED WHEN TRANSPORTING ANY INMATE:¶
Transfer From Institution: NEW YORK MCC Phone Number: ___¶
Address 1: ___ Address 2: ___ City/State/Zip: NEW YORK, New York 10007¶
Name/Title of Person Completing Form: ___ RN Date: 08/10/2019¶
Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 DOB: 01/20/1953 Sex: M¶
Page 2 of 2¶
Generated 08/10/2019 07:00 by¶
RN¶
Bureau of Prisons - NYM¶