EFTA00134692

Medication Administration Record

| **76318-054** | **EPSTEIN, JEFFREY** |
| :--- | :--- |

<table border="1"><tr><td>Medication Orders</td><td>Time</td><td>1</td><td>2</td><td>3</td><td>4</td><td>5</td><td>6</td><td>7</td><td>8</td><td>9</td><td>10</td><td>11</td><td>12</td><td>13</td><td>14</td><td>15</td><td>16</td><td>17</td><td>18</td><td>19</td><td>20</td><td>21</td><td>22</td><td>23</td><td>24</td><td>25</td><td>26</td><td>27</td><td>28</td><td>29</td><td>30</td><td>31</td></tr><tr><td>Cmd.Date
07/30/19
14:21
Exp.Date
07/31/19
10:01</td><td>Inject regular Insulin subcutaneously per sliding scale: twice daily***pill line** for 7 days</td><td>PRN</td><td></td><td>



$$DNY_00000949$$

| EFTA_00000158 |
| :--- | :--- |

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EFTA00134693

Medication Administration Record

EPSTEIN, JEFFREY

<table><thead><tr><th rowspan="4">Ord. Date 07/31/19 10:00 Exp. Date 08/07/19 09:59 NYM 122160-NYM</th><th>Medication Orders</th><th>Time</th><th>1</th><th>2</th><th>3</th><th>4</th><th>5</th><th>6</th><th>7</th><th>8</th><th>9</th><th>10</th><th>11</th><th>12</th><th>13</th><th>14</th><th>15</th><th>16</th><th>17</th><th>18</th><th>19</th><th>20</th><th>21</th><th>22</th><th>23</th><th>24</th><th>25</th><th>26</th><th>27</th><th>28</th><th>29</th><th>30</th><th>31</th></tr><tr><th rowspan="3">Insulin Reg (10 ML) 100 UNITS/ML Inj</th><th>PRN</th><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr></thead></table>

Providers: YJ = Joaquin, Y.
Documentation Codes: ORD = Order | NI = Dose Not Indicated

Registration #: 76318-054
Pt. Name: EPSTEIN, JEFFREY

DOB: 01/20/53
Report information is current as of the date and time of printing: 08/10/2019 11:02 EST



SDNY_00000950


EFTA_00000159