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3 Provider: DiMisa, Samantha Ph.D. Reg it: 76318.054 Unit Team: 5 Watch Start Date: 07/23/2019 01.40 Total Time on Watch: 31 nrs 5 minutes Watch Conducted By: Both inmates and staff Current Mental Status Watch Stop Date: 07/24/2019 08.45 Transfered to Medical Center: No Level of Consciousness: A

YM Encounter Date: 07/23/2019 06:20 Provider: Joaquin, Y. MLP Unit: H01 Exam: Acutely III Pulmonary Auscultation Yes: Clear to Auscultation. Vesicular Breath Sounds Bilaterally No: Crackles. Rhonchi, Wheezing Exam Comments Inmate for injury report as requested by Operational Lt. He is ambulatory, oriented x 3. In not app

it Team: 5 Date: 07/24/2019 09:23 Provider: DiMisa, Samantha Ph.D. Watch Start Date: 07/23/2019 01:40 Total Time on Watch: 31 hrs 5 minutes Watch Conducted By: Both inmates and staff Current Mental Status Watch Stop Date: 07/24/2019 08:45 Transfered to Medical Center: No Level of Consciousness: A

Sex: M Race: WHITE Facility: NYM Provider: Joaquin, Y. MLP Unit: H01 Exam: Acutely III Pulmonary Auscultation Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally No: Crackles, Rhonchi, Wheezing Exam Comments Inmate for injury report as requested by Operational Lt. He is ambulatory, oriented x 3. In not app

Date of Birth: 01/20/1953 Sex: Date: 07/24/2019 09:23 Provider: Watch Start Date: 07/23/2019 01 :40 Total Time on Watch: 31 hrs 5 minutes Watch Conducted By: Both inmates and staff Current Mental Status Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: N

e: WHITE Encounter Date: 07/23/2019 06:20 Exam: Acutely Ill Pulmonary Auscultation Provider: b)(5>; (b)(l)(Cl MLP Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally No: Crackles, Rhonchi, Wheezing Exam Comments (b)(7:(A) 'b)(7)(A) ASSESSMENT: Injury, unspecified, T1490 - Current - RIO self inflicted injurie