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Page 2338 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 08/10/2019 07:25 Sex: M Race: WHITE Reg #: 76318-054 Provider: (b)(6); (b)(7)(C) RN Facility: NYM Unit: Z04 Exam: ASSESSMENT: Cardiac Arrest PLAN: New Consultation Requests: Consultation/Procedure Target Date Scheduled Target Date Priority Translator Language Emergency Room 08/10/2019 08/10/2019 Emergent No Subtype: AMBULANCE Reason for Request: Cardiac arrest with CPR in progress Copay Required:No Cosign Required: Yes Telephone/Verbal Order: No Completed by (b)(6); (b)(7)(C) RN on 08/10/2019 08:10 Requested to be cosigned by (b)(6); (b)(7)(C) MD. Cosign documentation will be displayed on the following page. Generated 08/10/2019 08:10 by (b)(6); (b)(7)(C) RN Bureau of Prisons - NYM Page 2 of 2 DOJ-OGR-00026033