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019 20:28 81 RN Respirations: Date nun Rate Per Provider 07/28/2019 20:28 NYM 14 RN Blood Pressure: Date 21= Value Location Position Cuff Sin provider 07/28/2019 20:28 NYM 157/91 SaO2: Mita Time Value(%), Air Provider 07/28/2019 20:28 NYM 98 RN Exam: General Affect Yes: Cooper
ations, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental CO Won, and release the Buroau of Prisons and Its employees from any and all liability for respecting and f• owing my expressed wishes and directions. MD 7-24-2019 Counseled by Date Signature
IIMUZI Provider Respirations: Rate flute Rate Per Provider 07/28/2019 20:28 NYM 14 RN Blood Pressure: Date Lime Value befall= Position Cuff Sin provider 07/28/2019 20:28 NYM 157/91 SaO2: jute Time Valtre(%1 Air Provider 07/28/2019 20:28 NYM 98 RN Exam: General Affect Yes: Cooper
ations, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental CO 'Won, and release the Buroau of Prisons and Its employees from any and all liability for respecting and f• owing my expressed wishes and directions. 7-24-2019 Counseled by Dale e a is Sign
07/28/2019 20:28 81 Respirations: Rata Bute Rate Per Provider 07/28/2019 20:28 NYM 14 Blood Pressure: DADI Time Value Dealt= Position Cuff Sin provider 07/28/2019 20:28 NYM 157/91 SaO2: Date. Time ValuerAl Air Provider 07/28/2019 20:28 NYM 98 Exam: General Affect Yes: Cooperativ
ations, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental CO Won, and release the Buroau of Prisons and Its employees from any and all liability for respecting and f• owing my expressed wishes and directions. 7-24-2019 Counseled by Date a** si .nature
9 20:28 81 RN Respirations: Date Brae Rate Per Provider 07/28/2019 20:28 NYM 14 RN Blood Pressure: Date Lime Value Location Position Cuff Sin provider 07/28/2019 20:28 NYM 157/91 SaO2: Date. Time Vaitte(%), Air Provider 07/28/2019 20:28 NYM 98 RN Exam: General Affect Yes: Coop
ations, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental CO 'Won, and release the Buroau of Prisons and Its employees from any and all liability for respecting and f• owing my expressed wishes and directions. 7-24-2019 Counseled by Dale a is Sign NYM
Entities connected to both Cuff Sin and the Buroau of Prisons and Its
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