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Initiated Format Hand MitiTO0 la 07/1412019 Counseling Diagnosis Copay Required: No Cosign Required: No TelephoneNerbai Order NO Completed by Beaudouin, Robert MD on 07/14/2019 18:11 Provider Beaudouin, Robe Outcome Verbalizes Understanding Generated 07/14/2019 18:11 by Beaudostn, Robert Mn Bur
e. Copay Required:No Cosign Required: Yes TelephoneNerbal Order: No Completed by Joaquin, Y. MLP on 07/09/2019 13:03 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be displayed on the following page. GenetaloO 07/09/2019 13:03 by Joaquin, MLP Bureau of Prisons - NYM Pag
148-NYM Insulin Reg (10 Mt) 100 UNITS/ML lnj Order Data 07/30/2019 15:58 Prescriber Order SLIDING SCALE Subcutaneously each morning x 7 day(s) Pill Line Only Order Date Proscriber Artier 07/30/2019 15:58 Inject regular insulin subcutaneously per sliding scale: twice daily '"pill linen* for 7 da
n, Robert MD 07/30/2019 09:30 87 Via Machine Beaudouin, Robert MD Respirations: Date Time Rate Per Minute Provider 07/30/2019 09:30 NYM 12 Beaudouin, Robert MD Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/30/2019 13:02 NYM 114/84 Left Arm Standing Beaudouin,
Provider 07/30/2019 09:30 NYM 98 Room Air Beaudouin, Robert MD Weight: Date Time Lks Kg Waist Circum Provider Generated 07/30/2019 14:05 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 1 of 3 EFTA00045498 Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Encounter Date: 07/30/201
ate 07/30/2019 11:12 Prescriber Order 10 CC Orally - Two Times a Day PRN x 90 day(s) SLIDING SCALE Subcutaneously - Two Times a Day x 7 day(s) Pill Line Only Prescriber Order Take the tablet by mouth as directed x 6 day(s) Frequency Due Date One Time 08/01/2019 00:00 End Date Due Date Priori
macy Dispensings: 10 TAB in 15 days Docusate Sodium 100 MG Cap Take one capsule (100 MG) by mouth twice daily for 30 days Rx#: 121823-NYM Doctor: Beaudouin, Robert MD Start: 07/12/19 Exp: 08/11/19 Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML shake well take 2 tablespoonful twice daily by mouth Rx#:
Copay Required:No Cosign Required: Yes Telephone/Verbal Order: No Completed by Columbo, Joseph RN on 08/10/2019 08:10 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be displayed on the following page. Generated 08/10/2019 08:10 by Columbo, Joseph RN Bureau of Prisons - NYM
Completed by Beaudouin, Robert MD on 07/30/2019 16:12 Cosign Required: No Prescriber Order SLIDING SCALE Subcutaneously each morning x 7 day(s) Pill Line Only Prescriber Order Inject regular insulin subcutaneously per sliding scale: twice daily "pill linen* for 7 days Generated 07/30/2019 16:12 b
-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/10/2019 16:58 Provider: Lab Result Receive Facility: NYM Cosigned by Beaudouin, Robert MD on 07/14/2019 18:12. Bureau of Prisons • NYM EFTA00049635 BP-5358.C60 SEP 05 MEDICAL TREATMENT REFUSAL CDFRM U.S. DEPARTMENT OF JU
Completed by Beaudouin, Robert MD on 07/30/2019 16:12 Cosign Required: No prescriber Order SLIDING SCALE Subcutaneously each morning x 7 day(s) Pill Line Only Prescriber Order Inject regular insulin subcutaneously per sliding scale: twice daily "'pill linen* for 7 days Generated 07/3012019 16:12
Education Topics: Date Initiated Format Handout/Topic 07/12/2019 Counseling Diagnosis Copay Required: No Telephone/Verbal Order: Completed by Beaudouin, Cosign Required: No 07/12/2019 14:20 0 Provider Outcome Verbalizes Understanding Generated 07/12/2019 14:20 by MD Bureau of Prisons - NYM
Verbal Order: No Completed by Cosign Required: No MD on 07/30/2019 16:12 Prescriber Order SLIDING SCALE Subcutaneously each morning x 7 day(s) Pill Line Only Prescriber Order Inject regular insulin subcutaneously per sliding scale: twice daily "pill linen* for 7 days Generated 07230,2019 16:12 b
Education Topics: Date Initiated Format Handout/Topic 07/12/2019 Counseling Diagnosis Copay Required:No Telephone/Verbal Order: Completed by Beaudouin, Cosign Required: No 07/12/2019 14:20 4 e 036 of 148 ullo Withheld exemption (b)(6) ; (b) ) , ( )(C) of the Freedom of Information Provid
ne/Verbal Order: No Completed by Cosign Required: No on 07/30/2019 16:12 Prescriber Order SLIDING SCALE Subcutaneously each morning x 7 day(s) Pill Line Only Prescriber Order Inject regular insulin subcutaneously per sliding scale: twice daily —*pill line"' for 7 days Generated 0730:2019 16:12 b
Education Topics: Date Initiated Format Handout/Topic 07/12/2019 Counseling Diagnosis Copay Required:No Telephone/Verbal Order: Completed by Beaudouin, Cosign Required: No 07/12/2019 14:20 0 Provider Outcome Verbalizes Understanding Generated 07/1232019 14:20 by MD Bureau of Prisons - NYM
Verbal Order: No Completed by Cosign Required: No MD on 07/30/2019 16:12 Prescriber Order SLIDING SCALE Subcutaneously each morning x 7 day(s) Pill Line Only Prescriber Order Inject regular insulin subcutaneously per sliding scale: twice daily —*pill linen* for 7 days SDNY Generated 071302019 1
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