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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
/2019 06:40 Oxygen 15 L 08/10/2019 06:47 IV Access Peripheral IV 08/10/2019 06:48 18 g Left AC Airway Endotracheal Tube ET Tube 7.5 24CM to L Lip line Placed by Paramedics 08/10/2019 07:08 Medications Epinephrine 1mg IV 08/10/2019 07:10 Epinephrine 3 doses and Sodium bicarb 2 doses adminis
h CPR in progress Copay Required:No Cosign Required: Yes TelephoneNerbal Order: No Completed by 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 Bureau of Prisons • NYM Page 2 or 2 EFTA
ygen 15 L 08/10/2019 06:47 IV Access Peripheral IV 08/10201906:48 189 Left AC Airway Endotracheal Tube 08/10/2019 07:08 ET Tube 7.5 24CM to L Lip line Placed by Paramedics Medications Epinephrine 1mg IV 08/10201907:10 Epinephrine 3 doses and Sodium bicarb 2 doses administered by paramedics
-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
/2019 06:40 Oxygen 15 L 08/10/2019 06:47 IV Access Peripheral IV 08/10/2019 06:48 18 g Left AC Airway Endotracheal Tube ET Tube 7.5 24CM to L Lip line Placed by Paramedics 08/10/2019 07:08 Medications Epinephrine lmg IV 08/10/2019 07:10 Epinephrine 3 doses and Sodium bicarb 2 doses adminis
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
/2019 06:40 Oxygen 15 L 08/10/2019 06:47 IV Access Peripheral IV 08/10/2019 06:48 18 g Left AC Airway Endotracheal Tube ET Tube 7.5 24CM to L Lip line Placed by Paramedics 08/10/2019 07:08 Medications Epinephrine 1mg IV 08/10/2019 07:10 Epinephrine 3 doses and Sodium bicarb 2 doses adminis
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
IV 08/10/2019 06:48 18 g Left AC Page 001 of 148 Airway Endotracheal Tube 08/10/2019 07:08 Withheld pursuant to exemption ET Tube 7.5 24CM to L Lip line Placed by Paramedics Medications Epinephrine 1mg IV (b)(6) (b)(7)(A); (b)(7)(C) 08/10/2019 07:10 Epinephrine 3 doses and Sodium bicarb 2 do
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
/2019 06:40 Oxygen 15 L 08/10/2019 06:47 IV Access Peripheral IV 08/10/2019 06:48 18 g Left AC Airway Endotracheal Tube ET Tube 7.5 24CM to L Lip line Placed by Paramedics 08/10/2019 07:08 Medications Epinephrine 1mg IV 08/10/2019 07:10 Epinephrine 3 doses and Sodium bicarb 2 doses adminis
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