Bureau of Prisons

Bureau of Prisons Health Services Clinical Encounter Inmate Name: Date of Birth: Encounter Date: 08/16/2019 07:04 Sex: U Race: Provider: Reg #: Facility: NYM Unit: K01 Injury Assessment - Non-work related encounter performed at Health Services. SUBJECTIVE: INJURY 1 Provider: Date of Injury: 08/16/2019 06:40 Date Reported for Treatment: Work Related: Pain Location: No Work Assignment: UNASSG Pain Scale: 0 Pain Qualities: Colicky Where Did Injury Happen (Be specific as to location): 11 North Cause of Injury (Inmate's Statement of how injury occurred): "I got caught with a weapon on me" Symptoms (as reported by inmate): "I have no injury" OBJECTIVE: Pulse: Dale Time 08/16/2019 07:04 Respirations: Date 08/16/2019 Blood Pressure: Date Time Rate Per Minute Location 103 Via Machine Time 07:04 NYM Rate Per Minute Provider 15 Value Location Position 08/16/2019 07:04 NYM 159/96 SaO2: Date Time Value(%1 Air 08/16/2019 07:04 NYM 96 Room