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HomeMy WebLinkAbout06-2372 .1 In re: Petition ofNigerie Butler, as parent and natural guardian of Ingrid Lee, a minor Plaintiff, COURT OF COMMON PLEAS CUMBERLAND COUNTY NO: Ol, - ;L.Y7~ l2i u,l '-T 82..YY'\ PETITION FOR LEAVE TO COMPROMISE MINOR'S ACTION This Petition ofNigerie Butler, as parent and natural guardian oflngrid Lee a minor, respectfully states: 1. The petitioner is Nigerie Butler, the mother and natural guardian of Ingrid Lee, a mmor. 2, Ingrid was born on February 3,1998. She currently resides with her mother at 1750 L. Wisteria Drive, Charnbersburg, PAl 7201, 3, On or about May 10, 2004, Ingrid was involved in a single vehicle-pedestrian accident with an automobile operated by Jason E, Boyce, who pulling out of a parking space on Arbor Way in Martinsburg, West Virginia" As Mr. Boyce was leaving the parking space, a large truck blocked his view of a dirt embankment. After he pulled out he traveled approximately thirty (30) feet when a child on a bicycle came off the dirt embankment and in front ofMr. Boyce's vehicle. Before he had time to react, another child (Ingrid Lee) came over the embankment and struck Mr. Boyce's vehicle. A true and correct copy of the West Virginia Uniform Traffic Crash Report is attached hereto as Exhibit "A." 4. Ingrid was transported from the scene, via ambulance, to the hospital. As a result of the incident, Ingrid suffered injuries, including a left femur fracture and head contusion, She was hospitalized for a total of 2 days and during her stay underwent a dosed reduction with . Nancy nail fixation for the left femur fracture. Copies oflngrid Lee's medical records are collectively attached hereto as Exhibit "B." 5. Upon discharge from the hospital, Ingrid's left leg was in a cast and she had to learn to ambulate with a pediatric walker. See Exhibit B. Within two months, Ingrid was able to jump rope without pain and was ambulating welL See Exhibit B. 6. On October 13, 2004, Ingrid underwent a second procedure, without incident, to remove the Nancy Nails, See Exhibit B, Two weeks after the surgery, Ingrid was almost fully active. Her last medical visit, relative to the femur fracture, was on October 28, 2004, 7. At the time of the accident, Agency Insurance Company of Maryland issued a policy of insurance numbered AU 0027198 to Jason Boyce, Said policy provides Bodily Injury coverage in the amount of $50,000 per person/$I 00 per occurrence. A copy of the Declarations page for policy AU 0027198 is attached hereto as Exhibit "c." 8, An agreement has been reached between Agency Insurance Company and Petitioner whereby Petitioner, as the parent and natural Guardian of Ingrid Lee, a minor, has agreed to settle any and all claims Ingrid Lee, a minor, has or may have for $5000. 9. Counsel preparing this petition has been retained by Agency Insurance Company to file the pleadings and documents necessary for court approval of the parties' settlement agreement. 10. In telephone calls and by letter dated March 22, 2006, counsel specifically informed Nigerie Butler of the nature of counsel's involvement in this matter and that counsel preparing the petition is not her attorney in this matter. A true and cOn'ect copy of the letter is attached as Exhibit "D." ,1\ 11. Petitioner understands that if the Court approves this settkment, pursuant to the terms of the Settlement and Release Agreement, no further action or recovery may be had by either Petitioner or Ingrid Lee, a minor. 12. Petitioner, Nigerie Butler, as parent and natural guardian oflngrid Lee, believes the settlement oflngrid's claim for $5000 is in the best interest of her daughter and requests court approval of the above settlement as well as authority to execute any documents necessary to affect the actual settlement, including the proposed Settlement and Release Agreement attached hereto as Exhibit "E". WHEREFORE, Petitioner, Nigerie Butler as parent and natural guardian of Ingrid lee, requests this Honorable Court to enter an Order authorizing the proposed settlement as has been set forth, Respectfully submitted: Dated: By: .." -c\ . /,t) , i/ (_~ .II.. 7"" Nigeri utler, as parent and natural guardian ofIngrid Lee ~I Re: Butler VERIFICATION I HEREBY VERIFY that the statements made in the foregoing document are true and correct to the best of my knowledge, information and belief. I understand that any false statements contained herein are subject to the penalties of 18 Pa. C,S, Section 4904 relating to unsworn falsification to authorities, BY: . C2 C I: " ,,}( ~~. ,^. ~), < ,~-, Nigerie tier, as parent andnatural guardian of Ingrid Lee; a minor DATE: " ' III) "0 f-th, b;{ IrA \ . REVISED 5/97 " Of CRASH 10St* PdQ 3 . REPORTID8Y:2ecityPolioe 4C)Olher CITY OR T~ MTWThF.SSUn _000000 T2304S87 COUNTY '-\ HRS 'i HIGHWAY ClASSIACATION '8'- 30WV 50 City 2 U.S. cC)County 6. Other MAXIM SPEED UMIT ADVISORY SPEED IF ON CONTROLLED AcceSS HIG o Posted AllIN ONE Not~ I 1 (JMliinRoild /'1/1 MAXIMUM SPEED LIMIT ADVISORY SPEED 2(:) Main Road lIIlnterchange . ...... I 30E_Rampon <ij)tID<El Not Poited N .. () Exit~ On Side STREET. HIGHWAY, TOWN ETC. RElATION TO ROAOWAY (Location r:A First Impact) '.On Road 4QOutside of 2QMed!iI" ShoulderlC 30Shou1der58"""' 6 QtherA.Jn ST....TE oS,., L o C A T I o N IN NEAR M STREET , '" STREET 2 ROUTE 2 '" IF NOT AT 8FEET NOeOOF INTERSECTION: MILES 5 0 wO IF LOCATlON CAN BE OESCRlBEOMORE PRECl5aV, ENTER HERE SPECIAL REFERENCE OR GISlGPS COORDINATES DRIVER'S FULL NAME ZIP o :II ;;: "' :II 01 .. 6 z "' ~ o R I V E R (,ER 8cllI. ~ STATE t~..:... MO NONe 1 ~I "811I 2 Fatigued 5 Drinking 3 AsIee 6 Medication TEST RESULTS , 0 Othe< eOUnknorM1 eN/A 8 URINE OTH!:R NJA" 13 " 15 GJ Entering or Leaving Oriv_V Pulling Out ffOl1\ Paf10ng Space Other SEE NARRATIV STATE Merging ~ng or Sb::Ipping in TIdic~ne CITY '0 11 12 SAME AS DRIVER ZIP COlOR (list Primal)'lSec:ondary) 'W HrT 10 VEHICLE IDENTIFICATION NUMBER STYLE YEAR I<\GS V E H I C L E ~ PT_ OF ~ INITIAL "CI IMPACT S ~~ ~ 3 . 5 6 , . G:2l UNDERCARRIAGE 9 (j) NONE/NON- 10 APPARENT 11 (9l OTHERlUNKNOWN 128 G)ALLAREAS 13 ,. STATE ZIP c. ., ~.b OIRECTION TRAVEL: ~ {If tuming.....rdileCtior\ NOOE ON ROUTE 1 ABOVE BEFORE tum. Sec:w (Or stnlet) 2 _ TOVVEO DUE TO OAMAGE TOINEO BY' O",Yes . No m ([) 1\1 It>.. NI", INSURANCE COMPANY AGENT ~Ol-' '33- 'OI~ POllCY NO. Q AUTO LIABILITY . Y'lS INSURANCE: 0 No . CONTRIBUTING CIRCUMSTANCES' (Chedl. One or More) I "~T"",""'_Y 12 Passing Improperly 13 Parking Improperly 14 &.eking I~ 15 Avoiding Aninwl or Vehiefe 18 Oilhdion Inside Vehide 17 WallcingVioImion m ~:~ ~~~:=uen~ 20 . Slippery Pavement 21 Other RoacM8y 0eMds 22 PreviousAccident 23 left at Center 24 OCher (SEE NARRA TlVE) CITY " 0 Changing lanes Improperty 5 8 FolloWng Too Closely 8 Oisr.g8rded TI'lIffic Control , ~ Did Not Have Right of W.y 8 Failt,lfelDMaintil.inConttol. 9 Orivlng Under MlnlmlJlTi Speed 10 NoSigfl8lorltnpn)p8l'Signal , ~ NolmproperOriving 2 Exceeding Speed limit 3 Exceeding Safe Speed DRIVER'S FULL NAME o :II ~ " 01 .. :I: o Z "' ~ o R I V E R 'III STATE LICENSE RESTR1CTION(S) VIOLATE HJ", E SQClAlSECURIlY NUMBER 8;"'-~. Leame(s JJ.rm. 1 2 3 eN/A AJIp,. " '8 """', Drinking 8 Unlfno.om Medication NIp.. CIl ATlON CHARGE NI ""'"'" . _5 A 6 TEST RESUlTS: N fA, aT ATION NUMBER NIA - ~ 8 URINE OTHER ....."'" SkMmg or Stopping In Traffic laroa aTY ~ Entering or lNYfng Driveway Pulling Out from Parking Space OCher NARRATIV STATE 13 14 15 - ZIP Q COlOR (Lilt PritNryfSecondary) HI", V E H I C L E ~ .J) NI NI", LICENSE PlATE NUMBER N OIRE<:TION TRAVEL:, NOD EAlJa.. ROUTE (If tumlng, enter dIrection SOOw'OIr(o< ~ BEFORE tum. .............. TOWED DUE TO DAMAGE TOWED BY ov..N"O'" NI.... VEHICLE IDENTIFICATION NUMBER ~ DAMAGED AREA(S) prOf :II " NJA.6 INITIAL .. MPAcr :I: l~ 0 CD z m "' - ill ~ - ,~~ " ,," NIp, TOTAL OCCUPANTS EXTENTOFOAMAGE NIp' OF THIS VEHIClE AlIA, n0900n n" o 1 3."5" ll-~ TOWED TO: NIl>.. AGENT POliCY NO ~ INSURANCE COMPANY AUTO lIABlUTV INSURANCE: CONTRIBUTING ORCUMSTANCES (Chec::K One or More) NIp,. .., 11 ~ Tuming ImpIOpeIrty 12 Passing l"1lfUpetly 13 Partdng Improperty 1. B8ddng impruperly ~~ ~voidingAnimalorVehide . 0 Changing Lanes IrnpropetIy 5 0 Following Too Closely 6 R Dislegardecl Traffic Control ; Q~I;;;;:i;;~ 1 n No Improper QrMng ., ;-) c_,__ ~.--...ll ;->0 ~ ~ ... ~ ~ i NAME OF IHVES11GA.TING OFFICER (P..... P~) ~ PPITRhl M U$;Al'll' l!! ' '...,...."...:"""" - my . " ~ . ~ ns . ~ ~ ~ it ~ ~ ~ ~ ~ ~ ~ ~ ~ lC j i . ..a-..:i IU IONPA\EMENTOR~ I ~~Of'PA_NTEDGE STATE ZIP . o D T A H. E A R G E llAIW3ED Pl<uo-.><TT uTHER 1HAN \IE~ ( AliI>. AIlllRESS CITY 0'1\"''''._ 0 """'1-l.loIJ 8~ SEATlNG to-SlMpWSction B . 8iq<diIt 11 . OIIW Enc:bMd Paaenger Nul p . PedMnn c.vo N-. _ 1 - None lnUIkId 12. Oltw l.Jn8nc;IoMd PUHOg8I" NM 2' None UMd E . EngnNr (RRlTrai"l) Cacgo NM 3' L.p Bel 0nIv l..IMd M- MoIOrCyde, Snow- 13 . Ridng k'IIOn TrMlng Unit .. - ShCM.lkIer W Only mable,etc.: 1<l-FUdi'1gOnv.t'lllil 5-LepMdSho&Ader8eltUMd '-Ori\<< ExW10r e-CNkI~SeIII .. - p~ One 15 -l.Ir*nown 7 -1iehMt. GInMIiSNeId 7.P.....-.gerTwo 16-~-f-SEENARRAT1VE\ 8-t.Iriw1Own A1RBAG DEPlOYED) I EJECTED - . lRAPPEDIEXTRICAlED t-y.. 2-No t-NG 3-PIIrtIaIy '-NotT.-.pped 3.T~ExtricaIed 3-NotIlqUipped 2-Y.. .-Unknown 2-T~ "-Ur*nown VEHICLE FIRE OCCURRENCE HAZARDOUS CARGO yeti. t: V....,; v....,: 08No...""","""," O.No OQNo Nil>. 1 ... <>=mod 1 ~ 8~:...... It /I\~ O~ ~R MIF AGE ADDRESS M vA.(, wv s= f. <lllC'\ M"Rt'I.t/~ u..NCJJl'lI, "'~1'. Ri)l NIA. IJl.... NI.... FaRST AID BY OCCUPNfT PROTECTION INJURY ClASSlFtCATION C o o E S em ITEJ ',1<lIOd A _1MMdIng V\bt.r.d, DiatarWd Member. or ~ to Bti c.n.d fn:Im StaM. B . BruIeM. At:nelanl. SweIIrG, l.inping, EIc.. C - No'htia ~ CompIM1C d~ Of ~u._--'__. o - Not Irj.nd 7 . . I."'" 2-PoIicI 3 - ""'"'- ..- T.ancien .. . Doctor I NUI'M 5-ReKwScf.*l 6-HeIlcopterCrN MEDICAl.J. YlRANSPORTED 7 _ P-.medic t-Nu 2-V.. 3-R.u.d <l-lklknown 8-lInknoWn VEH. SEAT oct. AIR- EJEC TRAP, tN- FIRST MEO NO ING PROT BAG TED EXTRI JURY AID TRAH C R A . H DRIVER ---+. \ a o \ \ 5 Veh.'; O. No Fire Qa:urrence t 10Fn<>o::urr.o '">'B 3 ~ P I EN RV 50 OL NV 5 E o NAME ~.., ^-^ .;:t:: 1.111\ N;.. iiI" ;). INJURED TAKEN TO I INJURED TAKEN BY; EMS/AMeS UNIT HUMBER EMS RUN FORM NUMBER en; "n, s.n.lAl, f'IR--- PEDESTRIAN ACTION: I[J;, 8 Crossing at intersection . 38 WIIdng on PaYMMI'lI \r\Wl Tr1Iffic 58 Standing on Pavement 78 WxtUng on P.V'III'Mf'II. 90 Not on PavenMlnt ClOttmg:OUghl 008l'k 2 CrclsingNotmlnlerMc:tion.. w.IW1gonPiIWlMI1IF-*'iJTrdic 6 PlaytngonP~ a QttwonP8wrMnt PHONE NUMBER NAME OF YVITNESS ADDRESS MAAT.DI~ LAN urN b CITY STATE lJP P...", . _n_-z. . - t>..PT 'il18 M ,n. 'vii" ~,c:4()\ . . D W , T " . . . H ~'1 883-oS'3S w H W \/\EATHER ROADWAY ROADWAY CHARS ROAD TYPE TRAfFIC CONTROl VlStON OBSCURED BY ~~Sog ~~SU[E ~~i~J~ ~~~ ~~E~~~=~88 ~~..~~Q~=V_'1 5 Snowing .. Ice 5 CurveandGr.oe .. Gravel 5 RRGMeI SIgneIa on~ 9 ~ (::)MoW1gV--=-<., 6 Sleeting 5 M~_. 6 CUlW-.HiIaMt 5 0i1 6 ean.tructionZcne 3~~ r,.....BuIhM 10~~__ 7 Halling 6 Haz._ 7 ~ ~~andRok1g 6 Other: 7 Sd1ooIZoM .. Building(1) 11 BIindi1g&nighl: NUMBER 8 Cro.~ 7 Ottw 8 J Ran Curw . , 8 v.. 5 ~ 12 Other QFlANES: \ \\ERElANESCLEARlYMARKED1 DYES NO FUNCTIONING? No 6 SIgnbon 13 Unknown MANNEROFCOlLIStON: lEFT&fUQHT1\JRN VEH. SEQUENCE OF EVEHTS (UMCodN8tRIgN 01 CcIIlnII 1............... 32~1IUllPlIrt ;Q=~ c;t~ O;u 1JlElrnrnrn~;~l:!::.- = 3(:)s.m.Oirection 10r 0"]""'"' 0 VEH. ~........ >>PMIIll__whldIt 3I-CwtI .O~ O~'" lit 12U Hi" 1 IrnrnrnE?-,",- ~~_ =- 5~Re8r~ 0..4- o.b: oi fhte-le-.d..,..."...e-l"-lfllI!Wlll.,............ 2+10,. Llllmvt ~ ~ 6 sngwVtlhldrlCrMh 13.0. - ,.. 4- 157 MOSTHARMFULEVENT ,;:0;:;;;....-, =:-'*- ~::-~.... p. 7 OCher RlGtiTT\JRN6 WH..: r:-l::l YEN.I: rn 12.(:qo....... 27.o...n1'- 4S-eulldlrlO E, ~,rt O,M- Q~ <jilt r;6~'t \ llDJ NIA, :~..=.: ~;J7'..:...... =-~ '!eAEENING INFORIIIAl1ON: VEHICLE NUMBER CARRIER INFORMATION SOURCE: VEHICLE CONFtoURATlON COL TYPE ENOORS. 000000 10_P__ 20-.... ~A ~~:H NUMBEROFOUAL HICLES 1 2 3 .. 5 IS 30 Log Book ..ODfMr sOOth<< ~ =:4-tn....... B INVOLVED: ~ CARRIERNAME 3 SlngIIl.ftttndt(2M1Mt1ormcntirM. C TNCbwilh6ormoreti'el ~ : =-=::(3 Gr mcn...) 0 NoM Of. He..... P-..rn _~ ____ e Trudtnearrit(BotMI) Cot RESTRICTIONS 7 T'**-"wIIh......... ~ 8 Buset designed to carry 8 Tr<<:I<< wilh doIA* n/Ien; K~ ~__ 16ormc:reptnON _ CITY ~1E I ZIP .9_ T.-.ctorwW'l1riPe____ ....... I ~ 1u Olher.lIMtMlDdMItlfy ICCMC ____ CARGO BODY TYPE 1 ... ~v.w. -' -"box 3 .- . . 5 Dunp 6 Conc::rN MbrM 7 IdDTtw1epOrt 8 >-: ~orlWwe 9 Oltw(UltEWowI . " v , . D " M . " T LIGHT 'g0aylignl 2 0,"", 3 OarK,Mi- rlCiafL)ghll ..""'" sO Dawn C R A S H c o M M E R C I A L USDOT KAZAROOUS MATERIAL PlACARD' 8 v.. SPill 8 v.. . . No'~No ~.0l~0i(jI. ~0(8ox: ,~~/ .... -" '\" r---- NUMBER OF PersotuISuataining fetal ..... P..-.onslr'8llSp(lrtedfOl' IMMEDIATE medlc::8l ............ C A R R I E R STATE. G\MR NUMBER OF AXlES PER UNIT '.: I I v--=- towed from the scene dull to dMl.p or provided ~ T_' _I -, T_ I ..-... I NAME OF POlICE AGENCY d. \ MA2.1TII1<IldR./~ p" O.R.I. NUMBER W\lOOSCAIlO I OATE OF COIIPlET1OH I ...~ ""11_/ ., . - CRAW SCENE AS OBSERVED, INClUDING F/OI>DNAY LAYOUT, VEHIClE, PEDESTRIAN OR OBJECT CRAW ARROW POINTING t STRUCK, TRAFFIC CONTROlS: SKIDMARKS, ETC. NORTH IN CIRCLE 1 IMPORTANT; NUMBER THE VEHClES ACCORDING TO THE VEHla...E NlNBERS ON THE FRONT PAGE. ; @ j 1)\l.1\'N:l~G NO"\' ie Sc.A.l.€ , C Scale: 1 inch '" 20 feet ~ 0 ~ N L ..- L MA.flT:1N5 Ll'J'(llI/'lb C:I:I\CLC >l.t, . , i:t ~/~ I " S ( I::: - - ---~- I f-o' ~ 0 I N I .1 T I P..~~~O I eSh"e vEJ.tt.ctt= C) /IIUJID"l '0 I t' D "->' ..... I " 0/.- " - A ... - G R A ~ ~ M a~ ~ ~~ 'b I co ~ <( DESCRIBE WHAT HAPPENED (Refer to Vehicles by Number) <;. R= p.; N A R R A T I V E ,. PAGE lOf' L\ . . " - Complaint: Vehicle Accident May 10, 2004 Case No, 0405-08754 Page 1 of'l- Vehicle one was leaving the third west side parking space on Arbor Way, Martinsburg WV. As vehicle one traveled approximately 30 feet south on Arbor Way a child on a bicycle came off a dirt embankment and in front off vehicle one's path, Before vehicle one could react, a second child on a bicycle came off the embankment and struck the front of vehicle one. According to vehicle one driver, Jason E. Boyce, he had just left his parking space, Boyce stated a large truck blocked his view of the dirt embankment. According to Boyce, a child on a bicycle came off the embankment and barely missed his car, Boyce informed before he could react another child on a bike came off the embankment and struck his vehicle, A large white truck was blocking the view of the embankment. The embankment appeared to be worn down from possibly pedestrian and bicycle traffic, On the top of the embankment was a dirt trail, It appeared the children came off the dirt trail and down the embankment. At the end of the embankment was a parked vehicle that made it difficult to see up Arbor Way, It appeared the children came off the embankment onto Arbor Way without stopping, There were no skid marks present or acceleration marks coming from the parking space, The child was identified as Ingrid Lee (age 6), Ingrid Lee was transported to Martinsburg City Hospital by rescue ambulance. Lee suffered an injury to her left leg (possible fracture) and a bump on her head, The only witness to the incident was Paul Lopez, Mr, Lopez gave the same account of the incident as Boyce. Patrolman M,M, Usack Pr,-,^". /iII,tffI,tt/ " .., I STATEMENT OF: N8IIII: ,PI\IJL Lo f' Telephone ,: (Bome) 3 eM- Dare M.A-) 10 ;:;l00'-1 PageNo--J. MP.RTDIIS6URb WII Address: a a IVlI\R.T1' CI s (llol."k) N II>., (CeU) Drivel."sLicense : Dl.".L1c.State Date of Birth: o Soci81 Security':' UN\(NQ M I . Height: CD 0'\ Weight: 310 . . Age: 3 L\ Hair: 6lK Eyea:B, I 'W...... ') &Et(iW-o l:\U.A. ()AJ(;: 1{:Ib CNur:: [<.:-1l:MS ~N~ ,.liF I-l"tll._ JWOIf\F:R. t'u:o <"~'E WI'\.<;' c..tA1rki, T~ Ttlc ~ I'A F"'''T. l1-1E" lAM TU~ t<.r:o \() 11tr ,ITOF '\-Ie (?,'!RL :If\.\P~ ~ C'b.(> . .... v"^' RI' "'-^o'''~^' U'^~l( <TA.-n::MFrJ\ IAo.... ~IV .... f ~t'O. =~ :i!:~ J>..,: - 10-0'-\ l"'2.- PTd.'. :,J/ . I afflrll that the informotLon {n this stotement is trlll.l ond cori'I.Ict. if so 51an bl.l{""': ". . PAGE ~ot= C STATEMENTS OF INVOLVED DRIVERS AND WITNESSES (IF AVAILABLE) L ~ - I - "'0 " - " P,'-'U. /lI1.IiV ATTAOi ADIJIT10NAL STA~UT C:1oICC'T'C!' Af!' ..-..........- '. . I .. CAD Operations Report Call N~mber 0405-08754 MARTINSBURG POLICE DEPARTMENT Prinled ,05/10/2004 09:57 PM ' Call Detail Information Gall Num~r ' 0405-08754 ComJll;:lint VEH ACC D"'~~Jime R~iv,~ ,'. . lnj Man 05/1012004 20:38.26 ! 0 Inli!g~tlt~1I1.?i'; .. t , MARTINS8.lJI3G,p {';"-"'.;'+,;",-".":,.:-:.,,x..t,Y'-/iip,ifi'f.l\,.,d:,;+j;",...",iS::'"",',}f:",.0-> '1'.~de"v"br_~~'dit~llIf" L ,.!~~,~~~,:z::..: "::~,J:' ',M~Q,,&4~.~' . 'V"", .~.. .,. ",.. , ,....~,..~. .. .....'tJ1l>iiJlllil. .$k,_...~ "'""';'il:llliiol"':i3" 1!"'';;''~:;X;1ll! "'!"dj.'iRi~"".:J:;. ':~,iJ~1J~il!j9~ l;f?d~iJl'~J; !if,[j0~:~'i_~ ~{6~~~ ~J:lb%t~"Ja ~Ql~iIt~~~~-;.~~~ itM:~~~! Atit"""~"i:~ (,''1U~'Q.;,.!j(n;rf'J':{.~'' rn.....:-:r:: :;',>;;;i~:1j~~~Jr;i;~-,",:~,j)h",:~,"F,,,<>,,;::~!'l:k't~.:;~b-#A*,,-S:. ie-'4'rE';:!1i,',:;",':b;t" ()():()():OO : 20:38:26 .." 20:39:01 . 20:42:53 ."...."n....'-,.,.,',..-.. ','_ .,.-....',....... ".,-...., ," _."_,,,<,"," ";,'_-__,'s~,-_--. [5/10/2004 9:54:54 PM: mistyh] SEE REPORT UNIT CLEAR FROM CHI AND LOCATION OF 10-50 [5110/2004 8:39:01 PM: mistyh] PEDESTRAIN STRUCK DeDartment Numbers MPD 0405-08055 - 21 DepartmentlRMS OCA Numbers - MPD 0405-08754 WVOO20100 Call DisDositions 2004/05/) 0 2) :56:59 1024 SEE REPORT Page 1 of 2 " . -:Y . c I ,,'h" f- 'I- Y" " CITY HOSPITAL, INC. Martinsburg, WV, EMERGENCY ROOM NOTE' PATIENT, LEE, INGRID ACCT#, VOOOOl195795 AGE, 6Y PHYSICIAN, PHILIP VAN DONGEN, MD MR#, M000170563 ROOM#, 424 DATE OF SERVICE, 05/11/2004 ADMISSION CHIEF COMPLAINT, Pedestrian struck by a vehicle, HISTORY OF PRESENT ILLNESS, This 6-year-old black female who was riding her bicycle without a helmet when she apparently went into the road and was struck by a vehicle. She was knocked from the bicycle. It is unknown whether there was any loss of consciousness although when I spoke with the child she seemed to recall getting struck by the car and said that the remained on the ground after she was struck. She seems to have good recollection of the events, When brought in by EMS they noted that she had a possible injury to the left upper leg and that she seemed to be lldrifting in and outll a little bit. The rest of the review of systems was negative as best as can be determined. PAST MEDICAL HISTORY, None, ALLERGIES, None, MEDICATIONS, Zyrtec, Prior treatment with a Hare traction, C collar and long board. PHYSICAL EXAMINATION, This is a well appearing, alert, chubby black female with a stated weight of 86 pounds, Afebrile, Heart rate 130, other vital signs stable, PSYCH: For me she is awake, alert, answering my questions appropriately and appropriately scared, HEENT, There was a cephalohematoma on the left side of the forehead with an associated minor abrasion. No other cephalohematomas or other outward evidence of any head or facial trauma was noted. Trachea midline. Cervical spine seems to be non-tender but the collar was left in place. LUNGS, Clear to auscultation anteriorly with full and equal breath sounds bilaterally. No accessory muscle use or intercostal retractions. CHEST, Chest wall was non-tender to palpation with no crepitus and no outward evidence of any trauma. ABDOMEN, Soft, She seemed to be exhibiting some discomfort with palpation but when asked where it was hurting her, she said it was hurting her left upper leg. Bowel sounds were present but diminished. There was no rebound, no guarding and no palpable mass. There was a slight abrasion on the far lateral aspect of the left lower abdomen and another slight abrasion in the left upper quadrant region anteriorly. PELVIS: Pelvis was non-tender to compression and pelvic rock. The left upper leg seemed to be slightly swollen when compared to the right upper LEE,INGRID MT REP #: 0511-0007 Page 1 of 3 EMERGENCY ROOM NOTE Medical Records' copy " CITY HOSPITAL, INC MARTINSBURG, WV EMERGENCY ROOM NOTE LEE,INGRID V00001195795 M000170563 leg. There also were some minor abrasions on the left upper leg. The knee appears unremarkable with no evidence of effusion and the remainder of the left lower leg and foot as well as the entire right lower extremity showed no outward evidence of any trauma with no t:enderness with palpation, SKIN: Cool and dry. No rash or ulcerations noted. Just the abrasions as previously noted. NEUROLOGIC: The child was alert. She was responding appropriately for a child in her situation. She was moving her extremities without difficulty with the fourth being in the traction device. The patient had a peripheral IV initiated and labs were sent, She was then sent for CT scan of the head, abdomen and pelvis as well as a variety of plain films, Glucose 195, potassium 3.2, chloride 112, alkaline phosphatase 284, The rest of the comprehensive metabolic profile and CBC were normal, X-rays of the cervical spine were unremarkable with no evidence of fracture, subluxation, or prevertebral soft tissue swelling, The open mouth view of the odontoid was inadequate. Chest x-ray showed a normal mediastinum with no evidence of pneumothorax or other lung injury. x-ray of the pelvis showed no evidence of fracture, X-ray of the left femur showed a simple mid shaft fracture. CT scan of the head was negative with no sign of intracranial injury and CT of the abdomen and pelvis also was unremarkable with no evidence of any intraperitoneal injury. The child remains appropriately responsive tome in the Emergency Department. She was takenDff the long board. Her cervical collar was also removed. I spoke with Dr. Knutson, the on call orthopedist, who kindly agreed to admit the patient for ongoing orthopedic care. IMPRESSION: 1, Left femur fracture, 2. Forehead contusion. 3, Hyperglycemia, 4, HypOkalemia. Condition on admission is stable. PHILIP VAN DONGEN, MD DD: 05/11/2004 JOB: 775728 ID: 000189348 DT: 05/11/2004 cc: KNUTSON DO,THOMAS E JR (00261) LOBATON MD,CHERRY (00066) fx: VAN DONGEN MD,PHILIP C (00252) > TRANS: TD: Ol~,8 0723 ' LEE,INGRID MT REP #: 0511-0007 Page 2 of 3 EMERGENCY ROOM NOTE Medical Records' copy " LEE, INGRID cc: KNUTSON DO,THOMAS E JR LOBATON MD,CHERRY CITY HOSPITAL, INC MARTINSBURG, WV EMERGENCY ROOM NOTE V00001195795 M000170563 LEE,INGRID MT REP #: 0511-0007 EMERGENCY ROOM NOTE Page 3 of 3 Medical Records' copy CITY HOSPITAL, INC MARTINSBURG, WV M4y J 9 2001 HISTORY AND PHYSICAL PATIENT: LEE, INGRID ACCT#: VOOOOl195795 ROOM#: 424 ATTENDING: THOMAS E KNUTSON JR, DO MR#: M000170563 DATE OF ADMISSION: 05/11/2004 IMPRESSION: 1. Left femur fracture, displaced. 2. Closed head injury. PLAN: 1. To the operating room this evening for closed reduction" possible open reduction with flexible nail fixation. 2. Admit for pain control, neurovascular checks and physical therapy. HISTORY: This is a 6-year-old black female who was struck by a car this evening, where she was hit in the thigh. She had acute .onset of pain in the thigh and also did suffer a contusion to her head, Throughout her stay in the Emergency Room, even though she was somewhat somnolent, she aroused to her name and was very cooperative and followed instructions. She was evaluated per the Emergency Room physician and did have a head CT and abdomen and pelvis CT which were all negative, She did complain of pain in her left thigh and this was her only extremity pain. PAST MEDICAL HISTORY: None, PAST SURGICAL HISTORY: None, ALLERGIES: None, MEDICATIONS: Zyrtec. REVIEW OF SYSTEMS: HEENT - she does have a head contusion. She denies any history of blurred vision, dizziness. Lungs: Denies history of cough, hemoptysis or wheeze, Heart: Denies any history of chest pain or palpitations. Extremities as per above. PHYSICAL EXAMINATION: The patient is awake, alert, pleasant on exam and in a moderate amount of distress because of her left thigh pain. She has no cervical, thoracic or lumbar tenderness. HEENT: Within normal limits with the exception of a head contusion. HEART: Regular rate and rhythm. LUNGS: ABDOMEN: 0,.<:- Clear to auscultation. Soft and nontender. positive bowel sounds in upper quadrants. EXTREMITIES: Within normal limits with the exception and attention to her left thigh. She does have a superficial abrasion to her left thigh with a mild to moderate amount of swelling. LEE,INGRID History and Physical MT REP #: 0512-0029 Dictating Physician's copy " CITY HOSPITAL, INC. MARTINSBURG, WV HISTORY AND PHYSICAL however, intact. V00001195795 M000170563 her thigh is soft. She is neurovascularly Pulses are +2 and symmetric. LEE,INGRID X-rays of her left femur do show a displaced, essentially transverse fracture of the distal middle third of the left femur fracture. IMPRESSION: As per above. PLAN: Discussed with the parents recommendations were for closed reduction, possible open reduction with flexible nail fixation. All risks, benefits, complications, as well as postoperative care were discussed, questions and concerns answered to her satisfaction. They were in agreement with the above recorr.mendations. will plan on going to surgery this evening. THOMAS E KNUTSON JR, DO JOB: 775713 ID: 000189752 DD: 05/11/2004 TD: 1231 DT: 05/12/2004 0910 cc: KNUTSON DO,THOMAS E JR (00261) > TRANS: CC: KNUTSON DO,THOMAS E JR LOBATON MD,CHERRY LEE,INGRID History and Physical MT REP #: 0512-0029 Dictating Physician's copy " , CITY HOSPITAL, INC, Martinsburg, WV, OPERATIVE NOTE LEE, INGRID ACCT#: VOOOOl195795 PATIENT: PHYSICIAN: THOMAS E KNUTSON JR, DO MR#: M000170563 ROOM#: 424 DATE OF OPERATION: 05/11/04 PREOPERATIVE DIAGNOSIS: Displaced left femur fracture. POSTOPERATIVE DIAGNOSIS: Displaced left femur fracture, PROCEDURE: Closed reduction with Nancy nail fixation, left: femur, SURGEON: Dr, Knutson, FIRST ASSIST: Dave Wagner, SA, ANESTHESIA: General. COMPLICATIONS: None. Sponge count was correct, Patient tolerated the procedure well and was taken to recovery room in stable condition. HISTORY/INDICATIONS: This is a 6-year-old female who was hit by a car where she suffered a isolated left femur fracture. Because of her size, recommendations were for the above. After the risks, benefits, complications, and alternatives were discussed with her parents, questions and concerns were answered to their satisfactory.. They was in agreement with the above recommendation. PROCEDURE: Patient was taken to the operating room suite. After general anesthesia was administered, she was placed on the Chick fracture table. Her leg was placed in traction and the reduction was made prior to prepping and draping her left thigh. Once happy with our position, the left lower extremity was then sterilely prepped and draped in a normal sterile fashion. We evaluated the area of the physis of the distal femur, We then picked a spot approximately 2 cm proximal to this, Incision was made along the lateral aspect of her thigh at this area with a 10 blade down through the skin, also through the fascia, Hemostasis was controlled with electrocautery as we went from superficial to deep. We then split the vastus lateralis down to the bone. Once down to the bone, we assessed our placement and our lateral drill hole was made. Once this was complete, this was done on similar fashion along the medial side. Once this was complete, we then placed two Nancy nails, one in the lateral hole, one in the medial hole measuring 3 mm each. The Nancy nails were then advanced intramedullary to the fracture site. The fracture was held reduced. Intramedullary nails were then advanced past the fracture site up to the area of the less trochanter. The nails were cut and then buried, We evaluated our placement in both the AP and lateral views. We also checked our placement both at the knee and the hip. Once happy with our position, again the pins were cut, buried. The wounds were copiously irrigated. The fascia was closed with 0 Vicryl. The subcutaneous tissues were then closed with a 3-0 subcuticular. Steri-Strips were then applied, A sterile dressing was then applied. She was then placed in a long leg cast from ankle to groin. She was successfully extubated and taken to recovery room in stable condition. She tolerated the procedure well without complications. Sponge count was correct. PAGE 1 of 2 OPERATIVE NOTE LEE,INGRID MT REP #: 0511-0067 Patient Location's copy " CITY HOSPITAL, INC. MARTINSBURG, WV LEE,INGRID OPERATIVE NOTE VOOOO 1195795 M000170563 /l. I THOMAS E KNUTSON JR, 00 JOB, 775746 10, 000189453 00, 05/11/2004 TO, 0259 OT, 05/11/2004 1114 cc, KNUTSON OO,THOMAS E JR (00261) > TRANS: CC: KNUTSON DO, THOMAS E JR LOBATON MD,CHERRY LEE,INGRID MT REP #: 0511-0067 PAGE2of2 OPERATIVE NOTE Patient Location's CODY '. . CITY HOSPITAL,INC. Martinsburg, WV. CONSULTATION REPORT PATIENT, LEE, INGRID ACCT#, VOOOOl195795 AGE, 6Y ATTENDING, THOMAS E KNUTSON JR, DO MR#, M000170563 ROOM#, 424 CONSULTANT, PAUL SPILSBURY, MD DATE OF CONSULT, 05(11(2004 INPATIENT NEUROLOGIC CONSULTATION This six year old black girl, kindergartner, is seen because of l1in and Dutil behavior since suffering an apparently minor closed hear injury when hit on her bicycle by a car this morning. Details of the accident were not available and specifically it is not known at this time whether there was any loss of consciousness but if so it was brief and though EMS said that she was Ildrifting in and out" on recovery, in the Emergency Room, Dr. Van Dongen found her quite alert and communicative, able to teel him a bit about the accident and other circumstances. She had a little bump on her left forehead but no evidence of deeper injury and normal neurologic exam and CT scan. She had suffered a displaced fracture of her left fibula which Dr, Knutson has nailed. PAST MEDICAL HISTORY, Negative save for a sleep disordered breathing due to apnea from hypertrophied tonsils which were removed in December to good effect. The obstructive apnea was not associated with oxygen desaturation and her sleep architecture was reportedly normal. She has multiple allergies for which she takes Zyrtec and a history of otitis media associated with the tonsils. CURRENT MEDICATIONS, Include only cefazolin IV. PHYSICAL EXAMINATION, In Room 424 reveals a very well-developed, husky, young black girl lying propped up in bed, her left leg freshly casted. She seems fairly alert and interactive though shy and soft-spoken and difficulty to get much information out of at present though she will follow all my simple commands and will tell me her name and hometown and a little bit about what happened to her today, the speech fluent and coherent without dysphasic errors. She denies even a headache at this point. However, she does not seem much interested in her full liquid diet, HEAD: Normocephalic with a modest swelling and superficial abrasion over the left forehead consistent with hematoma though it is not really tender and there are no signs or bony injury. EYES, Without deformity, I could not get a look at her fundi, EARS, NOSE AND THROAT: Clear without drainage. NECK: Supple, NEUROLOGIC: Mental status minimally abnormal as above. Cranial nerves II through XII were intact including fields to finger counting and confrontation. Pupils are normal size and reactivity.. Extraocular movements full and conjugate without nystagmus. Face strong and symmetrical. Hearing intact to whisper bilaterally and no bulbar signs. LEE,INGRID MT RI=P H. f\/:;1?_n1'J.1 Page 1 of 2 CONSUL T A TION REPORT P::;:Itipnt I nr.~tinn'~ r.nnv " , CITY HOSPITAL, INC. MARTINSBURG, WV CONSULTATION REPORT LEE,INGRID V00001195795 M000170563 Motor system is unremarkable as to gross strength, tone and coordination in all but the left leg where testing is limited to the foot and toe muscles which seem intact. Gross sensation to touch is intact throughout. Deep tendon reflexes are 1-2+ throughout save cannot be tested in the left leg at this time. Plantar responses are flexor bilaterally, Laboratory data has included CBC and comprehensive metabolic profile, all unremarkable save she may be diabetic with a sugar of 195 and potassium 3.2 on entry. Review of her non-contrast CT scan of the brain reveals it to be somewhat suboptimal in quality and canted to the right but grossly within normal limits with no indication of a parenchymal lesion or extra- axial hematoma and intact skull with no fluid in the sinuses or mastoids. IMPRESSION: closed head injury with minor post-concussion syndrome but no findings to suggest any likely residual, DISPOSITION: Observe overnight. If she is perky in the morningt she can be cleared to go me neurologically. PAUL SPILSBURY, MD JOB: 776283 cc: KNUTSON SPILSBURY > TRANS: DD: ID: 000189938 DT: DO,THOMAS E JR (00261) MD,PAUL (00156) 05/11/2004 05/12/2004 TD: 1924 1451 CC: KNUTSON DO,THOMAS E JR LOBATON MD,CHERRY SPILSBURY MD,PAUL LEE,INGRID Page 2 of2 CONSULTATION REPORT ....... .....-~.. ..._~~ ...~...~ - - ~ ," - -~.- - ~ -- CITY HOSPITAL, INC, Martinsburg, WV, MAr 2 42004 <& DISCHARGE SUMMARY PATIENT: LEE, INGRID ACCT#:V00001195795 PHYSICIAN: KNUTSON DO,THOMAS E JR MR#:M000170563 ROOM#: 424-A DATE OF ADMISSION: 05/11/04 DATE OF DISCHARGE: 05/12/04 ADMITTING DIAGNOSIS: Left femur fracture, SECONDARY DIAGNOSIS: Post concussive syndrome, CONSULTANTS: Paul Spilsbury, M.D, SURGICAL PROCEDURES: On 05/10/04 was closed reduction with flexible nail fixation left femur, COMPLICATIONS: None, HISTORY: This is a 6-year-old female who was struck by a car, where she suffered left femur fracture, and also did suffer a concussion, Her CT scans of the head, pelvis and belly were all negative, Because of the injury, recommendations were for the above. After the risks, benefits, complications, and alternatives of surgery discussed with the parents, questions were answered to their satisfaction, and they agreed with above recommendations. Patient underwent the above procedure that evening, she tolerated it welL She was placed on long leg casts, On postop day number 1, the patient is still somewhat drowsy, however she did answer questions appropriately, Because ofthe continued drowsiness, I did consult Dr. Spilsbury for evaluation, On post op day number 2, the patient was much more alert, She tolerated her therapy welL She remained neurovascularly intact and was discharged home with discharge instructions, She is to follow up in the office in 2 weeks. City Job ID: 776777 ,----<- i THOMAS E KNUTSON DO JR Dictated date/time: 05/12/04 1656 Tra~cribed dale/time: 05/17/041641 '0 LEE, INGRID Page 1 of 2 DISCHARGE SUMMARY MT REP #: 0517-0163 Dictatina Physician's CODV " , CITY HOSPITAL, INC. MARTINSBURG, WV DISCHARGE SUMMARY LEE, INGRID Transcriptionist: V00001195795 M000170563 Sara Sargent cc: KNUTSON DO,THOMAS E JR LOBATON MD,CHERRY LEE, INGRID Page 2 of 2 MT REP #: 0517-0163 DISCHARGE SUMMARY Dictating Physician's copy " City Hospital Radiology Services Martinsburg, WV 25401 CAT SCAN REPORT Patient Name: LEE,INGRID DOB: 02103/1998 Age: 6 Sex: F Unit#: Req#: Acct#: M000170563 04-0025912 V00001195795 Ordering Physician: VAN DONGEN MD, PHILIP C Family Physician: LOBATON MD,CHERRY Technologist: Amanda Stoner Location: Room # : Auth#: 4P 424-A Report Status: Signed Exam: CT AbdomenlPelvis wI Contrast Exam Date: 05/10104 CLINICAL HISTORY: TRAUMA, CT SCAN OF THE ABDOMEN AND PELVIS WITH IV CONTRAST: This is a slightly limited study as the very anterior abdomen was excluded from the scanning field, The liver, spleen, adrenals, kidneys, and pancreas are unremarkable, There is no evidence for bowel injury, There is no free fluid in the pelvis. There is mild subcutaneous stranding in the left lateral pelvis, IMPRESSION: 1. No CT evidence for acute intracranial injury or fracture, 2, Mild subcutaneous contusion in the left lateral pelvis. <Electronically signed by HOJOON JUNG MD > HOJOON JUNG MD Dictated by: Signed by: Trans: HOJOON JUNG MD HOJOON JUNG MD PJS Diet dUtm: 05/11/04 0805 Signature dUlm: 05/11/04 1040 Trans dUtm: 05/11/040847 cc: LOBATON MD,CHERRY VAN DONGEN MD,PHILlP C L ,. Reprt #: 0511-0024 1 of 1 Patient Location's copy . City Hospital Radiology Services Martinsburg, WV 25401 DIAGNOSTIC RADIOLOGY REPORT Patient Name: LEE,INGRID DOB: 02/03/1998 Age: 6 Sex: F Ordering Physician: VAN DONG EN MD, PHILIP C Family Physician: LOBATON MD,CHERRY Technologist: Jennifer Fincham Unit#: Req#: Acct#: M000170563 04-0025908 V00001195795 Location: Room # : Auth# : 4P 424-A Report Status: Signed Exam: DX CHEST 1 VIEW CLINICAL HISTORY: Trauma. Exam Date: 05/10104 CHEST (1 view): The cardiac silhouette is within normal limits, The lungs are clear. There are no displaced rib fractures, pneumothorax, or pleural effusion. IMPRESSION: Unremarkable chest radiograph, <Electronically signed by HOJOON JUNG MD > HOJOON JUNG MD Dictated by: Signed by: Trans: HOJOON JUNG MD HOJOON JUNG MD BJW DictdVtm: 05/11/040810 Signature dVtm: 05/11/041040 Trans dVtm: 05/11/040851 cc: LOBATON MD,CHERRY VAN DONGEN MD,PHILlP C Reprt #: 0511-0026 1 of 1 Patient Location's copy " . City Hospital Radiology Services Martinsburg, WV 25401 DIAGNOSTIC RADIOLOGY REPORT Patient Name: LEE,INGRID DOB: 02/03/1998 Age: 6 Sex: F Ordering Physician: VAN DONG EN MD, PHILIP C Family Physician: LOBATON MD,CHERRY Technologist: Jennifer Fincham Unit#: Req#: Acct#: M000170563 04-0025914 V00001195795 Location: Room # : Auth# : 4P 424-A Report Status: Signed Exam: DX SPINE, CERVICAL AP/LAT Exam Date: 05/10104 CLINICAL HISTORY: TRAUMA. CERVICAL SPINE - FIVE VIEWS: There is loss of normal cervical lordosis. The odontoid view is very limited due to rotation, No definite fractures are identified, The prevertebral soft tissue is within normal limits for age, IMPRESSION: Limited study, No definite fracture is seen, <Electronically signed by HOJOON JUNG MD > HOJOON JUNG MD Dictated by: Signed by: Trans: HOJOON JUNG MD HOJOON JUNG MD PJS Dict dUtm: 05/11/040809 Signature dUtm: 05/11/041040 Trans dUtm: 05/11/040850 cc: LOBATON MD,CHERRY VAN DONGEN MD,PHILlP C " Reprt #: 0511-0030 1 of 1 Patient Location's copy " , City Hospital Radiology Services Martinsburg, WV 25401 DIAGNOSTIC RADIOLOGY REPORT Patient Name: LEE,INGRID DOB: 02/03/1998 Age: 6 Sex: F Unit#: Req#: Acct#: M000170563 04-0025910 V00001195795 Ordering Physician: VAN DONG EN MD, PHILIP C Family Physician: LOBATON MD,CHERRY Technologist: Jennifer Fincham Location: Room # : Auth#: 4P 424-A Report Status: Signed Exam: OX PELVIS, < 2V CLINICAL HISTORY: Trauma. Exam Date: 05/10104 PELVIS (1 view): The hips bilaterally are anatomically aligned, No fracture is seen. IMPRESSION: Unremarkable pelvis radiograph, <Electronically signed by HOJOON JUNG MD > HOJOON JUNG MD Dictated by: Signed by: Trans: HOJOON JUNG MD HOJOON JUNG MD BJW Dict dt/lm: 05/11/040808 Signature dUtm: 05/11/04 1040 TransdUtm: 05/11/040849 cc: LOBATON MD,CHERRY VAN DONGEN MD,PHILlP C Reprt #: 0511-0025 1 of 1 Patient Location's copy " , City Hospital Radiology Services Martinsburg, WV 25401 DIAGNOSTIC RADIOLOGY REPORT Patient Name: LEE,INGRID DOB: 02/03/1998 Age: 6 Sex: F Unit#: Req#: Acct#: M000170563 04-0025913 voooa 1195795 Ordering Physician: VAN DONGEN MD, PHILIP C Family Physician: LOBATON MD,CHERRY Technologist: Jennifer Fincham Location: Room # : Auth#: 4P 424-A Report Status: Signed Exam: DX FEMUR, L T 2V CLINICAL HISTORY: Trauma. Exam Date: 05/10104 LEFT FEMUR (two views): Evaluation of the left femur demonstrates a transverse fracture through the distal diaphysis of the femur with 1 cm lateral displacement of the distal fragment. IMPRESSION: Transverse fracture through the distal diaphysis of the left femur. <Electronically signed by HOJOON JUNG MD > HOJOON JUNG MD Dictated by: Signed by: Trans: HOJOON JUNG MD HOJOON JUNG MD BJW Dict dtltm: 05/11/040807 Signature dtltm: 05/11/041040 Trans dtltm: 05/11/040847 cc: LOBATON MD,CHERRY VAN DONGEN MD,PHILlP C Reprt #: 0511-0023 1 of 1 Patient Location's CODY PATIENT NAME: Lej?~) ,.,OR''''O' "k"" "'''''' CO""O" 1, YES' NO Have you had a previoUs injection of contrast material? If yes, what ex did you have? IVP CT Venogram YES ~. NO Have you ever had a reaction to contrast material? If yes, what kin 0' eaction? . YES NO Did you require medication? What kind? YES Y.,,- NO Do you have any allergies to iodine, seafood, or other medications? If yes, what? YES V NO Are you a diabetic? If yes, are you taking GLUCHOPHAGE? When was you~se? (Those on GLUCHOPHAGE should discontinue use after IV contrast administration and have blood test 48 hours past procedures to determine resumption of GLUCHOPHAGE,I cITY HOSPITAL RADIOLOGY SERVICES CONSENT TO ADMINISTER IV CONTRAST MEDIA '1,(\3(-1 d FILE NUMBER: i\A noo 1-1 rF:>lr-3 cP-- MRI 2. 3. YES NO 4, PATIENT INFORMATION: 1, Most patients experience no unusual effects from this Injection. It is used to show the blood vessels and parts of the body, like the kidneys, brain, abdomen and pelvis, This gives the Radiologist (doctor trained to interpret images) more information about you that can be sent to your physician, 2. This procedure generally consists of injecting an appropriate amount of fluid that contains iodine in a vein in either your arm (IVP/CT) or foot (Venogram). This will allow us to take pictures of the areas that your doctor is interested in having us check. 3. There can be some common side effects and risks involved with these procedures. These can include: flushing/warm feeling, metallic taste, nausea, vomiting, mild allergic reactions such as hives or skin rashes. TherE can also be burning at the site of the Infection and, in rare instances, more serious complications that could Include shock, kidney failure, and cardiac arrest. City Hospital has the facilities to treat all these reactions Immediately. 4, Other exams that could be used to help diagnose your condition are Nuclear Scans and lor Ultrasound, They haVE not been recommended at this time, 5. Although there are no guarantees, we want to again state that most patients experience no unusual effects from this Injection. 6, Do you have any questions? Please ask the technologist for more information before the test. I have reviewed the above information and understand it. Any questions I may have had have been answered to my satisfaction and I consent to proceeding with the injection and the test that has been ordered by my doctor, Y I' Date & Time Ia~t's Signature Date Time The patient is a minor/unable to sign, I have read oq'.ZO ~{ Date Tim RAD-QQ PAGE 2 10 LEE, INGRID VOO1l95795 REG ER 0?/0311998 6/F VAN OONGEN MD.PHILIP C L08ATON MO.CHERRY MG,170'i63 05110/04 ; LABEL SOCIAL HISTORY: Smoki';g ~dY Alcohol .OY RecrealionalDrugs- OY NUTRITIONAL SCREEN: Unplanned loss/gain 10lbs in 6 mos. ON DY Any problems swallowing lasting> 3 days 0 N OY Dietary Referra. N OY DOMESTIC VIOLENCE: Have you ever been injured, verbally abused, or harmed by a member of your household or intimate partner? PNJ 0 Y o Declines to answer [If yes, complete referral form] "--" LIMITED MOBILITY: 0 Assisted ride ndent Safet OY tMPAIRMENTS: ONIA 0 Visual 0 AUditory 0 Other: BARRIERS: 0 NIA 0 Language 0 Physical 0 Developmental 0 Live,sftlone Do you have any cultural/religious beliefs practices the staff need to be aware of? ~ 0 y ~ I n 'I I SUMMARY PRESENT PROBLEM (subjective assessment) rl"'/',: _ }..,,'C,- efr '''h (.(r l-,i t..e{,.'t:<p :7 ' kl? 1",,,.;.1 't I 0 I.€-t; .<Y: I)~ o Adult Home ~amily 5/0 '-') . , /\.-.J...-.- i"'.'- c:."",&.. i ::" U J,J)C_ PERTIN}iNT PHYSICAL ASSESSMENT ,(objective as~essment)_ ~C!.I9'":t (Sri -fl (" '?'" 4t- j+<--"".&2 cl, 0:";(' -I, I EtJ dt-f71(',.,..,;-~'l (l::-Y'{fb"A"'- /;""N~, ( ,0"; ~,- S' i I'" Assessing Nurse Signature: ), i.'-(j;>t.<. -"': /J,--:, ORDERS ..~ TIME ORDERS ~ TIME / :;)(o"l ('::s,t>>'~ ~:J(Ot- Lx<'l:. 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U/ <,<\ '0' q(; ""j;:-.,d .... __/,_,,\ ,~"~, ('./ J or . .,. ~'" p+-~",; .Ii j {'I ___ ;',.R(UI'L'I;-'?:y1/lslq" " q,'C; '\">'~' -P+ -"'0,-. iI-<: -1.<'5 L}/ J". \ ..t." ." ,J ,,," '_ ,cl...- I... ~. " --, .,. / ',1-' '~I:,I." ,I..., ,: ,',.....' _ ,/., .s(~_.- ~ ' _ >;}.)">'''-''J:'P/();i, 0;) q,'!J \ C'>I" 1.I..",,'f:-9'':'' ) ("': --i--_ .. __,.4'> --, t ~1.F(r ",.. ICC1 ~J:.i( Oi r...J:!~- 1~~ r r,"}"'" '(\ r \ j ,,:,~ ~~. " " :", Ii ;-..1;'1 '-']I' ~J~ ).):::S rJl'2. Strl+f- 4 ~~ ,-;: .: .. Tlt,tE ,:,..)..lO'-1 (~ p" /;-;4i- C" /""..0 1 nli..J~;-_ Nsg. Level ~ TIME Medical Records 1(\.-\..6 SIGNATURE r', Kt It ~&I :::l'r C.<'.v h /1 \S \. INITIAL <' --y ( ~::'> SIGNATURE J,., "1 .0/ (_'.)\1 .'.-"_4.J ,t? . <~._r>,_,...~_("' ~ _.. l' INITIAL __."_h...__~_ _ ___ ______ ICUII:'Dnl:'''~V nl:Df TUi:NT ~ITV LlOSPITAL INC. PHYSICIAN'S PROGRESS NOTES DATE ALL PROGRESS NOTES MUST BE SIGNED BY PHYSICIAN (.U1'\... ;:/'/,,"1 f I -z...,";':. C).;:::A (bO.....~ I P'r-~ !.)~ k> I'~~ )...~ .- S'_ . - -~ .;'.~ f~ ~ i - ../~<, Cc-J' .ei:- .-...\,... -.J/./ ~ i ,..-.... f1.f~-\. .-C:.-J'O .r.l...,-x- 1.' ~r f-^, .:.. h-- ~ f)~., ~ ::- "l'~ 0-.(' fL. ~ <..~ '---"" I ')' -h' I ;;"', ,'" . - . /1 --: ~ ,4' -" '- -~ 'I.At.{ /11 _JL(fj[cd " iyUJ),.i<fiLc7ll'7(),Y' </dt.A:/,.{' c . ._ _~". :)' i/ [1' ", .,y' ! I' --7; " r)_ /Il.(IL. / t.<:/ {'C ;:,?_/ clI ..i>l-1..,-~.(", "'V '" ,. ,- r ,if I - _/(~l'r \., /; {~!,}1 :.1,ft.-'--(:ZfL I ,'/I' ' / -,. , ~ , , ,r}/.{f~':-(/ L,t<~'// ., ., ;' i"",*'U" t.-~.(-t Lr r" < oj'_.~~'" /.fl..... . --", ./ ..-f ,..,J j,c" ' /,:.-t/.l(:". . t;//~}~/d::' " L t' -- f::+) . .".J//. fi./l;" 3610 (4-98) CITY HOSPITAL, INC. PHYSICIAN'S PROGRESS NOTES LEE,INGRID VOOOOl195795 ADM IN 02/03/1998 6/F 424A KNUTSON DO, THOMAS E JR lOnrrSQN DO, THOMAS E J.~ " , . . . " . I THIS PAGE FOR DOCUMENTATION OF FORMAL TEAM REVIEW ONLY Plan of Care In_/ Problem Desired Outcome Plan of Care / Intentention or Problem Reviewed Interv..-n Resolution Dele . (Circle tho... (Circle tho... (Circle those applicable) No longer Initials .ppiicllble) .ppiicllble ) Applicllble Dele/Inltlal Dele/Initial 7. Oxygenation Patient wtll maintain patent 0 Assess resplratXlry status 0 alrway# ease of respiration <L-hr Olfficulty breathing. &. slgns of .dequabo 0 Montor diagnostic resutts 0 shortness of breath, atrway oxygenatton and 0 Encourage post-op coughing &. 0 obstruction, Inadequate draJlatton. deep breathing oxygenation or Isdlemla. 0 Bevate head of bed for ease of 0 breathing 0 Endob'acheal or trach tube care 0 0 0 0 0 0 D )tJ <; (t o'-f 8, Actlvtty Patient wtll maintain or g-' ActIve range of motion 0 ('~A ,t;'/J;.L Improve pre-hospital er PassIve range of motton 0 AI_on In ability to mobility slatus, if AssIst to chair transfer or 0 .mbuI..... turn from slde L'f ambulate to side, or actively move Involvement of Teach use of walker/cane 0 ext:refTOties IamUy/slgnlftcant other' 0 Iledrest 0 whenever possible. 0 9, COpIng 1 Patient/filmlly/slgnlftcant 0 ObtaIn Inte,.".-... hearing aid 0 Communlcatlon 1 SpIritual other wtll express tI10ughts 0 Consult Sod.1 5enllces Needs and IIoeIlngs, 0 Facilitate dergy Ylslt as de5I~ 0 - 0 SUldde precautloos Problem coping wtth Pallent wtll be able to 0 0 disease process, communicate effectlvety. 0 0 communtcatlon banters, or 0 D spiritual distress RedllCtton or management 0 0 of__, 0 0 .~il' ., 10. Iqe Spedftc Care care and education based I~nfant 0 'ifla 5'" on age and developmental O\Ild D ConsIdenltton of age and level, D Adolescent D - developmenl3Ily 0 Adult 0 - -"Pr1- _Ies 0 Ger1ab1c D - 0 D 0 0 D 0 11, Terminally DII DyIng Respe<t ,.,.. dedsloos, D Honor advance directives I DNR D 0 HospIce memo! 0 Management of pain. other 0 Pall1allve Care refl!rnl 0 ~ms. 0 0 D 0 II 12, lnl\!cUon Mlnlml"" the development 0 Assess for S1gns/sx of Infection D . c or spread of InIectlon, 0 SI8I1~ aseptic technique when D PnIlenIJall Ad1Ja/ rf" .pproprlate Promote healing, AnUblotlcs &. dlagnosllcs as 0 ordered 0 0 . 13. canllovascular PlItient wtn _rUIn or 0 Assess vttal signs q hr 0 Improve canllac-'" 0 cardiac monItof1ng; docu~ &. 0 Altered carnlac status _ dysr1Iythmlas as ~ 0 cardiac rehab as onte~ 0 0 MedIcations and diagnostics as D , OJ ordered D ..;I 14, Olscharve Plannlng Anlldpall!! and plan needs rs::-. c- ~ Inwlvement 0 post-hospllall:ratlon IrMllvement of other 0 0 disci"""",, ~_on aaoss 0 __ expIanallons 0 the contImun of care 0 DIet expIanalIon 0 0 AcIMty expIonotlon 0 0 -- 0 Interdisciplinary Care Plan - Page 2 City Hospital, Inc. Martinsburg, WV LABEL LEE,INGRID VOOOOl195795 ADM IN 02/03/1998 61F 424A KNll'T'<::/"lM nA ........"..~_ , ". . . '- . Plan of CllI'e nltlllCl8d/ Problem Desired Outcome Plan of Care / Intervention or Pn>blem _wed Intervention Resolution -. No 1.0_ .1IIa.. Appllalble Dete/Initl81 Dete/In_1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Initials Signature / Title ~fl c '-> .1-.1//1 L.--~ LABEL Interdisciplinary Care Plan - Page 3 City Hospital, Inc. Martinsburg, WV LEE;J:NGRIn VOOOOl195795 ADM IN 02/03/1996 6/F 424A KNUTSON DO, THOMAS E JR KNUTSON DO,THOMAS E JR M000170S~1 n~/'l InA ,151 Rev. 03/02 , . . . . . I THIS PAGE FOR DOCUMENTATION OF FORMAL TEAM REVIEW ONLY Patient Problems List - Circle those applicable 1. Protection 2. Patient Education 3. Management of Health 4. Comfort S. Nutrition 6. Elimination 7. Oxygenation 8. Activity 9. Coping/Comm./Spirit. 10. Age Specific Care 11. Terminally III 12. Infection 13. CardlovasaJlar 14. Discharge Planning 1S.Other TEAM MEETING DATE: Nursin Education Pharma Nutrition Res irato Tx Rehab Social Service Case M t TCU , jlt~!';'\ ~ Interdisdplinary Care Plan Team Meeting Notes City Hospital, Inc. Martinsburg, WV lABEL .. -.. - -- . - -- ,'"- - -, --, -. 56151 LEE,INGRJ:D VOOOOl195795 ADM IN 02/03/1998 6/F 424A KNUTSON DO,THOMAS E JR KNUTSON DO, THOMAS E JR M000170S61 O~/ll 104 " , Date: s-I, ,I oj it7V1 Discharge needs: Barriers to learning: Subjective: Numeric Pain Scale: Objective. Cognition: t General Observations' ROM: oJt (A,,{,{Pl,(/n(t ir) MJ) - 7 - 8 - 9 - 10 nbearab ~ STRENGTH: (L) LE JE?,.yw tVT w,- (\ CWt- c\J1 LVlAA/iAV- (L) UE i~Fi- (L)LE , (R)LE tuFL (R)UE (R) LE Sensation: Neurologica . Impaired MIN MOD MAX Assist of All MIN Assist of d-, MIN Assist of ~ Fair Normal G) MOD MAX Assist of ~ Fair SBA MIN MOD MAX Assist of ;J, r <;1- IA )('J, Q Jt.-e.", Rolling: SBA Supine-Sit: SBA Sit-Supine: SBA Sitting Balance: Poor Sit-Stand: SBA Standing Balance: Poor Bed-Chair/Chair Bed: 4.. INPATIENT PHYSICAL THERAPY TREATMENT PLAN CITY HOSPITAL,INC MARTINSBURG, WV PATIENT IDENTIFICATION Revised 10f18100 LEE, INGRID VOO~01195795 ADM IN 02/03/1998 6/F 424A KNUTSON DO, THOMAS E JR KNUTSON DO,THOMAS E JR -_ ~r 11 1 'fI" CONSENT FOR MEDICAL OR SURGICAL PROCEDURES I, ---c-'""'~ L:.<..- have received information from Dr.. ~'t;'""""" about my diagnosis, the proposed treatment, alternative and related risks. I have received all the information and a satisfactory explanation of the procedure and all of my questions have been answered to my satisfaction, J understand that I may refuse to consent. I give my consent to the proposed procedures and other matters shown below. I understand my condition to be: 4 r:-~ C....,.-<;~ I understand the proposed procedure/operation to be: C<-.."'-<.R. ~~ '7t~ 'y<-- /'L<~~ .~ ~ ""'<-..A. ~.:L....V' l.. , rl' , .-.-- I hereby certify that I have read and fully understand the reasons why the operation/procedure is appropriate. its advantages, and I also certify that the risks associated with the proposed procedure(s) and possible complications were fully explained. I also understand that there may be other unforeseen risks of complications, serious injury or even death from both known and unknown causes. I understand the alternatives (including refusal to have the procedure) to the proposed procedure(s). If an exploratory operation is proposed, I consent t,,) performance of any additional procedures determined in the course of a procedure to be in rr,{ best interest where delay might impair my health. I also consent to photographing or video taping of the procedure including appropriate portions of my body. and to the agmi!ta.m:e of 0I!sef\Le.rl;!9 the operatil!g rOQIJ'IJQr!TIedic_aJ.scientific. or educational purposes. I hereby authorize Dr. ~ and such assistant(s) as (s)he may select to treat my condition. I am aware that the practice of medicine and surgery is not an exact science and I acknowledge that no guarantees have been made to me concerning the results of the operation, or other procedures. I understand and agree that any tissue or parts, including fetal remains removed maybe disposed of by the hospital in accordance' with customary practice. 3721 (REV. 1/95) CITY HOSPITAL INC, MARTINSBURG. W.VA. CONSENT FOR MEDICAL OR SURGICAL PROCEDURES LEE, INGRID VOOl195795 REG ER 02/03/1998 6/F VAN DONGEN MD.PHILIP C LOBATON MD,CHERRY M0170563 05/10/04 F3721 , I HAVE READ AND UNDERSTAND THiS CONSENT FORM AND i GIVE MY CONSENT AS DESCRIBED IN THIS FORM. Patient Date and Time Witness Date and Time ***w~******************.*******~*******************.************ This patient is unable to consent for the following reasons: I therefore consent for the patient: ~ .d(;{~ S.1/-o'f~JOO'lJ ,(i,:J,. y:'o/~ '1 Date and Time , fJ II: i~ t\..c~ Relationship to Patient Witness Date andfime * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * I certify that the above named patient (or informed consent as explained by myself on this date, ) has received an -;L Physician 0.-61 Date CITY HOSPITAL INC. MARTINSBURG, W.VA CONSENT FOR MEDICAL OR SURGICAL PROCEDURES LEE, INGRID VOOl195795 REG ER 02/03/1998 6/F VAN DONGEN MO.PHILIP C L08ATON MD,CHERRY MOL 70563 05/10/04 , I, , acknowledge that my doctor has explained to me that I will have an operation, diagnostic or treatment procedure. My doctor has explained the risks of the procedure, advised me of alternative treatments and told me about the expected outcome and what could happen if my condition remains untreated. I understand that anesthesia services are needed so that my doctor can perform the operation procedure. It has been explained to me that all forms of anesthesia involve some risks and no guarantees or promises can be made concerning the results of my procedure or treatment. Although rare, unexpected severe complications from anesthesia can occur and these include the remote possibility of: infection, bleeding, awareness, drug reactions, blood clots, loss of sensation, loss of limb function, paralysis, stroke, brain damage, heart attack or death, The overall risk of dying directly related to complications from anesthesia is reported to be between 1 in 100,000 to 200,000. I understand that the anesthetic technique to be used is determined by many factors including my physical condition, the type of procedure my doctor is to do, his or her preference, as well as my own desire. I acknowledge that I have read and understand the description of the anesthetic techniques listed below. I also unde.!:s.tand that depending upon the clinical situation, an anesthetic technique may need to be altered or changed for my ber'lefiL) c9~vAnesthesia Expected Result Total Unconscious State, Technique Drugs injected into bloodstream, breathed into lungs, or by other routes, possible placement of a tube into windpipe when asleep, Other Risks Mouth or throat soreness, hoarseness, injury to mouth or teeth, awareness under anesthesia, injury to blood vessels, aspiration, pneumonia. Spinal or Epidural Expected Result Temporary decrease or loss of feeling and/or movement to affected Analgesia/Anesthesia parts. With sedation Without sedation Technique Drug injected through a needle and/or a catheter placed either directly into the spinal canal or just outside of the spinal canal. Other Risks Headache, backache, buzzing in ears, convulsions, infection, persistent weakness, numbness, residual pain, injury to blood vessels, "total spinal". Major/Minor Nerve Expected Risk Temporary loss of feeling and/or movement of a specific limb or area, Block With sedation Technique Drug injected near nerves causing loss of sensation to the area of Without sedation operation. Other Risks Infection, convulsions, persistent numbness, residual pain, injury to blood vessels. Intravenous Expected Risk Temporary loss of feeling and/or movement of a limb. Anesthesia Care Technique Drug injected into veins of arm or leg while using a tourniquet With sedation Other Risks Infection, convulsions, persistent numbness, residual pain, injury to blood vessels. Monitored Anesthesia Expected Result Reduced anxiety, pain, and partial or total temporary amnesia, Care Technique Drug(s) injected into bloodstream, breathed into lungs or by other With sedation routes to produce a semi-conscious state. Other Risks An unconscious state, depressed breathing, injury to blood vessels, Monitored Anesthesia Expected Result Measurement of vital signs, availability of anesthesia provider for Care further intervention as needed, Without sedation Technique Continuous monitoring of vital signs, Other Risks Awareness, anxiety and/or discomfort, FJ995 , City Hospital Radiology Services Martinsburg, WV 25401 DIAGNOSTIC RADIOLOGY REPORT A14r ])5 1 J 2004 Patient Name: LEE,INGRID DOB: 02/03/1998 Age 6 Sex: F Ordering Physician: KNUTSON DO, THOMAS E JR Family Physician: LOBATON MD,CHERRY Technologist: Jennifer Fincham Unit#: Req#: Acct#: M000170563 04-0025938 V00001195795 Location: 4P Room # : 424-A Auth#: Report Status: Signed Exam: DX FEMUR, L T 2V CLINICAL HISTORY: Fracture. Exam Date: 05/11/04 LEFT FEMUR: There are two intramedullary rods in place aligning the mid femoral shaft fracture. There is anatomic alignment noted in orthogonal projections. The tip of the rod is noted proximally below the level of the lesser trochanter and distally projecting over the distal third segment of the femoral diaphysis, IMPRESSION: There is anatomic alignment of the femoral fracture as discussed above. <Electronically signed by DIMITRI MISAILlDIS MD > DIMITRI MISAILlDIS MD Dictated by: Signed by: Trans: DIMITRI MISAILlDIS MD DIMITRI MISAILlDIS MD BJW Diet dtltm: 05/11/04 1516 Signature dtltm: 05/12/04 1033 Trans dtltm: 05/11/041559 cc: KNUTSON DO,THOMAS E JR LOBATON MD,CHERRY --, Of Reprt #: 0511-0184 1 nf 1 Ordering Physician's copy , CITY HOSPITAL, INC, MARTINSBURG, WV DISCHARGE SUMMARY LEE,INGRID Transcriptionist: V00001195795 M000170563 Sara Sargent cc: KNUTSON DO,THOMAS E JR LOBATON MD,CHERRY LEE, INGRID Page 2 of 2 MT REP #: 0517-0163 DISCHARGE SUMMARY Medical Records' copy " , City Hospital Radiology Services Martinsburg, WV 25401 CAT SCAN REPORT Patient Name: lEE,INGRID DOB: 02103/1998 Age: 6 Sex: F Unit#: Req#: Acct#: M000170563 04-0025911 V00001195795 Ordering Physician: VAN DONGEN MD, PHILIP C Family Physician: LOBATON MD,CHERRY Technologist: Amanda Stoner Location: Room # : Auth #: 4P 424-A Report Status: Signed Exam: CT HEAD WO/CONTRAST CLINICAL HISTORY: Trauma. Exam Date: 05/10/04 CT OF THE HEAD WITHOUT CONTRAST: The ventricles are normal. There is no acute intracranial hemorrhage, Normal gray-white differentiation is seen, There are no extra-axial collections. There is no mass effect. There is no fracture, IMPRESSION: Unremarkable head CT, <Electronically signed by HOJOON JUNG MD > HOJOON JUNG MD Dictated by: Signed by: Trans: HOJOON JUNG MD HOJOON JUNG MD BJW Dict dVtm: 05/11/040800 Signature dVtm: 05/11/041040 Trans dVtm: 05/111040845 cc: LOBATON MD,CHERRY VAN DONGEN MD,PHILlP C Reprt #: 0511-0020 1 of 1 Patieni Location's copy i ,rom. Or'lOLO/ 1':>1,,) .age; 11J:. uate; I I/U:;)/"::UU~ -1 ";;;'U;'::4 '. ~~ ~ NightHa\vk RCldiologyservices Phone 866.24106635 Fax 888-287-1373 PRELIMINARY RADIOLOGY REPORT PATIENT NAME: PATIENT ID: LEE, INGRID MOOOl70563 INSTITUTION NAME: CITY HOSPITAL - MARTINSBURG, WV 2540l DATE: STUDY TYPE: lOth May, 2004 CDT CT BRAIN / CT ABDOMEN I CT PELVIS This interpretation is based upon the receipt of l22 .images. CLINICAL HISTORY / INDICA nON FOR EXAM: TRAUMA. RIO ICB OR INTRABDOMINAL BLEEDING. FINDINGS: CT BRAIN. The brain is unremarkable in appearance, No fractures are identified, Mild left frontal scalp soft tissue swelling appears to be present, CT ABDOMEN/PEL VIS. Portions of the anterior abdomen are excluded from the field of view, There is no evidence for visceral injury, No pneumoperitoneum or free fluid is seen in the abdomen or pelvis. No fractures are identified, Pagel CONFTDlil'lTTAf-: tha a,cumUlI!f t/tcllmptf'O'ltll! Orb Irtllt.'lPfls.1hm crill/it/if CfHl!1rJlMI/tJ hatd/h 1'l/i1f'7PUlllon tlu" Lf 1f!JPlll,y prMfagtrd. 711/.1 ItVilf'ml.llh,1l J:t Irt'rJlldud IItIIy irK""/! k:fa ulthe i..&viJunlurc.'t/i(y >CI:<nK:J"buw:. n.Cau~fI";:cJ r<<ipicOll rut"" injj,,,,,,,,,lIiflOl if p",hihi,cJ/flJIN c:..clIlN"~ 11f" iHJ"unwlli,,,,," dOO'tKhupnrty Iffl/cM ~iTl;Jftl ""JIl' b;- kM",. rvguflllJrHt fInd I:t raqlLJrtId III ..111''')' tlufl'r/imr""/rHt (fila,. JI:t .f/,IIqd Ilwd hi.., hDm/ltlflllvd. Vyr,14 ,,,.a ""11"" 1,II"dad f'IIClpltMi"JIlAi {Ira hl1fTlby ""llf1vd 111l1l tl'O' di~/'MUrr:. {;1'P]'i...~. ~/rjhut;f"'. IIrtlClilll1.lakC... il1. rr:lilllfl:l: 11II,he: I:llIItl:"'~ lifllw:..r: JIIClInu:otU ilI.,riclfy ,rohibiteA Tf)'llll _'lIC' "Q:~~r;J IIrUr ;";'"*lIil/O( i... ~'. pllZ'-"'i: If'"i/Y Iha saNler Immudlllllrly {Ittd um",!/afi,r {ha 1'D'IJm. or dllfll'Jlclhm Ilflhl:sa ducuMl1llls. ',. , i rlom. "--'Q,O/I~('" t""age: 1/1 uate; 11/u:,r2004 "-:';30:40 ~,~ ~ NightHa",rk Badiologyscrvices Phone 866-241-6635 Fax 888-287-1373 STUDY CONFIRMATION PATIENT NAME: NO OF lKAGES: INSTITUTION NAME: STUDY TYPE: LEE, INGRID 122* CITY HOSPITAL - MARTINSBURG, WV 25401 CT BRAIN / CT ABDOMEN / CT PELVIS The above patient details have been accepted into our system. We have received both the images and the requisition form. The study is now ready for interpretation. .Should the number of Images differ from the above, please contact us IMMEDIATELY. Acceptance Time (Sydney): 12:29 COWFTlJENTTAL' 1h" dnClltflNlt.T cu:cn~QlIloj'W this lfTJftTmi.T.TifUl can.(ain co'!fid",,(iaJ Itealrh injnrrrJQ(inn ,hat u l~alh'prillil~&J 'IN., infn,.",atirM i.T il'l/sndtJd ,"*/or tht.. u.<<'! qf 1M InJM4Ial or tnt/tl' MmtJ ahaI'(!. Th~ flldMrkN redp/t.1I1 oflhLt lnj'armOfJt'HI Lf prohlbhNl froM QCfd()SJM ,1ft, /liforMflf/tlll If) 11111' "fht!/" party I.m/&T;r fYlqu.irlJd In "':to ~l"aw of"',.ttgulatioll afld is t"ef/u.il"&1tn ds.lf~l' ,I", iiVnrmatiml after it,T xtattJd 1If1a:i1aa.r h&Jflju.IfUTed. . lfyoll art. /Jot the. llllt.",*.d r<</pIM/, 1'\?II11re herdJv not!fltJ rhat alii' dLn:los"'~, oopylllg, dJ.flrlbwllon, or oct/lln takn In reliance ()IJ the contents O/the..ft. i1iJcLl'fUJfJt~ is #"kt~l' pmhihi(M. If,W;ll haWJ fYJCf!;v'iHJ IJ", i'!f(}l'MQtinll ;11 tJrm,., pltJa.TtJ nntW.thf! .rf!NUr ilfUftfJa/Qtw,t' aNi arrQ"8f!jn,.thf! I"fJtlVn n,. a.artl'Udinn oftht.'Ct. doCMMMt.f. , DATE II~r TIME v 1, ~'G. (Orders Written) PACU 1 . Respiratory Therapy .l1J 02 therapy via nasal-cannula, mask or T-piece as needed to maintain 8a02 90% or above in PACU. o Ventilator settings PS _ TV Fi02 peep __ rate o Aerosol treatment: Albuterol 2,5 mg/NS 3 ml _ Other 2. Analgesics , :li3 Morphine 2 ( IV q 5 min. pm to maximum dose of ,<> '( o Meperidine 25 mg IV q 5 min, pm to maximum dose of o Hydromorphone _mg IV q5 min pm to maximum dose of _ mg o Ketorolac 15 mg IV x 1 dose pm o Ketorolac 30 mg IV x 1 dose pm o Other 3. Antiemetic o Promethazine 12.5 mg IV x 1 dose pm o Ondansetron 4 mg IV x 1 dose pm 4. Sedatives o MidazoJam _mg IV q5 min prn up to _mg 5, 0 Other ))./)/I1...)m~ NURS,'NG UNIT 1, 0 Maintain 02 therapy until room air Sp02 is >90% 2, 0 Post spinal activity orders: o a.Bedrest in any comfortable position until sensation and movement has returned, o b.OOB with assistance until able to bear full weight 3. 0 NPO until 4.0 Other DRUG ALLERGIES 1 Orders Per (6.- )~ ~___ AJ~l POST-OP ANESTHESIA CARE ORDERS PHYSICIANS ORDERS CITY HOSPITAL --4DORESSQGRAPH M000170563 - - 05/10/04 LEE,INGRID VOOOOl195795 REG ER 02/03/1998 6/F VAN OONGEN MD,PHILIP C LOBATON MD. CHERRY Nursing>Chart fonns>OR>Physidans Orders PACU Revised: 02104/04 F3941 , AFfER DOCTOR WRITES A MEDICATION ORDER 1. Remov.rvellowandp;nkcopies 2. ~tchyellowcopylolhePhannacyandlhepjnkoopy IOltieMedicatior'l N<.JI'Se 3. AIIercopy3Isused'X"0UI'8'I1"IiIIningunusedl;""" 36271 (10-95) Another brand of generically equivalent product identical In dosage form and content of active ingredi- ents(s) may be adminisl9l9d if column is not checked :QAtiF' '}/. Q 7:::r ~ o,~ .~ I c' __ - V _ '- I'\.- ..-A Ie C __ ",r - f. '1- r//V /" ~- CJ4c--. rJ~ _ "'"'/- ./ J-w- \A ........- ... f'---L. ~ >.. ~ ;z, .2 ]:..1 ~ 1:'-'6l.3 Qu p,-.. " f.-.. ~ - , -h (b ~y r """ Tv Qt. ~ ('\0 ~ L- 020 X'). S- .-J/J - (." z..S, ]::2"5'. 7,.:)' 1:.'" + \-. L.c:. \... 0')('.0 ('-- -s/'Jb4 Q....k./'f--'-' U.W OU2ULlc,Qt:}..,,,,.....J ---- AUEAGIES PATIENT INFORMATION ._J.....:.,,"""~ ..'> M000170563'- '-"'05/10/04 CITY HOSPITAL, INC. l' lEE. INGRID VOOOO1l95795 REG ER 02/03/1998 6/F IV~A~~Gm ~RF' PHI LI P C ,n RRY , CITY HOSPITAL, MARTINSBURG WV -:'""\... ',IO,lrA Y~i r '-f I c;-, h. Y----. <.~ ~, r!o~) Vllt /l?~ ALLERGIES KA PATIENT INFORMATION PHYSICIAN'S ORDERS CITY HOSPITAL, INC. MARTINSBURG, WV 25401 LEE. INGRID VOOOOI195795 REG ER 02/03/1998 6/F VAN DONGEN MD. PHILIP C ,,,.......,...,,., .,,.,. .....,..............." CG-D001 ". '. AUTOMATIC STOP ORDERS Control Drugs Schedule II-V...... .....6 days Hynotics ._... ..... .___.. ...._ ....... _ ...10 days Antibiotics.. .__... ._.... .......10 days Anticoagulants ............ _ __......... ....3 days An other medications .._......__... ..._...30 days Allergies Nkff Year: 'd-oD4 -:-:::::>' SCHEDULED MEDICATIONS/IV FLUIDS DATE ~ INITIALS IV FLUIDS. AMOUNT. RATE SITE If 5.; ... . . ... .. . 111 n n. I 8m.-XII f.)J'" o,H"]: ,)!?/){) I ", 1\ I '/,^~ 'X " -J~ L\ II \ , till LR (i) infJ crLAr 110001' ff1t.,-", MEDICATION ADMINISTRATIONI PATIENT IDENTIFICATION IV RECORD LBB,INGRIn CITY HOSPITAL, INC VOOOO1l95795 ADM IN MARTINSBURG, WV 25401 02/03/1998 6/F 424A KNuTSON DO,THOMAS E JR Rev (10/00) KNuTSON DO, THOMAS E JR F3813 "'1'l1"l1'l1 "1"11:1:1 I'lC I 111(\/1 ~. " I OR DATE MEDICATION. DOSAGE PRN MEDICATIONS: INITIALS FREQUENCY. RT. OF ADM, sJl! oJ/I 5)/1 5)1/ 5/1/ Dale Time Site lnit. Pain Time Eft. Date Time Site Init. Pain Time Eft. Date 7'jUru-l c CrdR,ii-/bIJTime eJlK'Pr f .~ tf'o ~Ii~e rv <> pl<J/ Pun. Pain c.....tt"" Time Eft. Date Time Site Init. Pain Time Eft. Date Time Site Init. Pain Time Eft, Date Time Site Inil Pain Time Eft. II? e;rrphlnL5v./{d.k :J. '77j.::1V &.5 fJ~)j S'{veu) pat.iL YoJ'iurn .kj-7Y Gt, 0 fl2.tJ S,m~ fJJurzJ~ar1. (;, ;;c:; -:r!1.JV &.& . fp,N' )j/V Tjkuf 3;)5~ ;- lJD Q~b PAN HIIp >/D/ EFFECTIVE ../ NOT EFFECTIVE o bill ),j'-p pu 0/),,/ 1"\ ~ 1~11~ l'l/J:l h. nt11() III 0 LO' P, c,l~ 6t? 11"1 1~IO v "j.., L, JIr l V STAT - NOW - ONE TIME MEDICATIONS -IV BOLUS OR DATE MEDICATION. DOSAGE. RT. OF ADM. TO BE GIVEN NURSE ~~" MEDICATION. DOSAGE. RT. OF ADM. TO BE GIVEN NURSE N FLUID. AMT. RATE DATE TIME INITIALS N FLUID. AMT . RATE DATE TIME INITIALS Epidural/IV peA meds. Documented on Pain Management Flowsheet INITIALS FULL SIGNATURE INITI!li,S " FULL SIGNAIURE INITIALS FULL SIGNATURE 5~'J :-;, 1:')/'\)_iY\ rl 0 I' A ~ ) /f1>.. . )i<ll-?/<(N / .- -=:J LEE, INGRID VOOOO1l95795 ADM IN 02/03/1998 6/F 424A KNUTSON DO,THOMAS E JR KNUTSON DO,THOMAS E JR " - I DATE 5 /I 8\1d-.IO'1 51 {2:- (:>0./ , A-O-R-T HOSPITAL DAY PO-PP DAY HOSPITAL DAY PO-PP DAY HOSPITAL DAY PO-PP DAY TEMP TEMP ~ ~ I.. '1/ cwI rAn .kO) 1la:D FO Co 105,8 41 104,0 40 102,2 39 100.4 38 f, ~ :/- "'( .~ 98,6 37 Jl: jt ~ "1IIS' 1"- .Ii'. ~v .... 96.8 36 35,5 PULSE )~).... \1 't Wi La fez 12~ ! 1'1 lit RESP, ~,9-0 b.o ,.;}0 /~ 18' lr.c do'? at BLOOD 5 (4'D 1:5\ Hi) --- 117 Cf1 PRESSURE 0 lvS \0 t[b - R/ <iq Initials "b.J <;J Ot-lJ f~ .---- ~, 1kM. 17~ IUV (]I cr FREQUENT MONITORING RECORD Date: Time ~'Jj) b:ilS p~tb ellls [)IJo DyY. OS> BP S IY1 1(,;7 1:0 150 1./.3 12'( 1317 0 ).:, '>'l y,}- In' H 12 75 HEART RATE 16"!J /I~ /O~ /I'! z.~ IvI 1~5 RESP, RATE I'! /1 l't Jb TEMP (A-O-R-T) 'ifl CVP READINGS Initials -M :t.2, ;fJ (P' XJ jJ I:U V'" PATIEuT Inc"lT.!c;;lt'~"'Vro.! "oil "'.J "''' GRAPHIC RECORD -" .;..:,;,,~ LEE,J:NGRID 3854 (O''()3) VOOOO1195795 ADM IN CITY HOSPITAL, INC 02/03/1998 tifF 424A KNUTSON DO,THOMAS E JR MARTINSBURG, WV 25401 KNUTSON DO, THOMAS E JR Mnnnl1nc;~, or; /11/04 fO",,, n1.,-:I\ C':IQ.c:;A " , I DATE ,") /I S\ I'd- I F1 51 (~;., i "0./ A-O-R-T HOSPITAL DAY PO-PP DAY HOSPITAL DAY PO-PP DAY HOSPITAL DAY PO-PP DAY TEMP TEMP D~D ~ It(,-,,'b ".~ ccoI InUi I-:Ron Ila::O -.IlD'> F" Co 105,8 41 104,0 40 102,2 39 100.4 38 A ~ ~ /, K ~ ;~ 98,6 37 n : ;~ :,/ ~ ~ " ,'Y - 96,8 36 35,5 PULSE }l.\':L , \li~ to let 12C It! /lL \\9; RESP, ,!ID 1.lO )J0 liP )8' [&0 ,)'1- C}t BLOOD S (4'0 1;:5 l"fu ----- 1\1 t.t1 PRESSURE D l/os II\-') <:{2> - IRI Io./q Initials );-J I<;:;:J Ol+! f~ i.J ~ lk'lA 11 IUI/ FREQUENT MONITORING RECORD Date: Time bw b-zJJs pm lolls :Jj,l'> ID5& O';{) BP S 114i 1<<7 150 150 1./.5 /2'( J3b 0 53- 'O'l ,'J.' IW' IN '1Z 75 HEART RATE loS II~ IO~ (/1 },"6 Iv-! Jt'S RESP, RATE I~ /1 11 JO TEMP (A-O-R-T) 31 CVP READINGS Initials .~ :f,J, -f!J L:RY W -PI 1;1(,( PATIE"'T Inc"ITJ~t.r~A,"tJro!. .......,......,"'. GRAPHIC RECORD LEE. INGRID 3854 /01-<13) VOOOO1l95795 ADM IN CITY HOSPITAL, INC 02/03/1998 6/F 424A KNUTSON DO,THOMAS E JR MARTINSBURG, WV 25401 KNUTSON DO,THOMAS E JR Mflnn17nt;k"'l or:: I' l/nd " ". DATE 61 )( 5/ /d--, , WEIGHT SHIFT - INTAKES \oJ I'btl I~ ~ yltl& 1'8-- :;1b . ~ P,O& I 0"-\ FEEDINGS Intra..operative or Procedural intake PARENTERAL 4~ 5(.'1 ~ ~ IRRIG,G.I, &G,U, 80 TOTAL SO;; c{(J INTAKE OUTPUT URINE \\~\l e\ €I ~ Intra--operative or Procedural urinary output Other Intra- operative output lincludina EBll NG JP/HEMOVAC EMESIS STOOL IRRIG G.I. & G,U, 8OTOTAL W OUTPUT Init Signature In it ~ignature I , Init Signature. ( ( t> I J,JJ..., (6- ./ mV l )G/\.Q. , ItJ d \hI- nJ ;y ~,,>'\,a. ~.:!J hil ~, , - t--r. },(l (\ " I 0 , 1'7lt7 . yf.., IllLkt\\ ~ 0 . ....._, __L ~~, ~., v ~ LEE, INGRID V00001195'1~- ADM IN '. '. ADMISSION DATA VITAL STATISTICS MEDICAL HISTORY Nickname: Jonm"--' ~J:-'{ Symptoms / Complaint: O/AxI~ '--f'" !J~ nwv Temp < ,J Pulse 103 Radial/~Ical Emer~~llnt~~e & #) Resp 11 B/P 14. /?3 UR HtlLen(l,th /)'0 Actual/ Stated Has child been a~d anyone sick? ) I tp'3 m7/ Wt 't'oG Actual/ Stated o Y. N From: Scale Used 1-:(1\ <JQ.. .Explain: Head circ cm (under 2 yr) {~3 y~ft, 0 Home BROSELO~ Water source 0 ED Heat source ( J ./ g; g~h~ffi1"Vt(,L\ Birth Status: (for pts < 5 yrs) M~ Illnesses: Via: Delivery: o Vaginal o C-Sect None 0 Ambulatory o Full term o Premature 0 Arthritis pt M F Sib GP ~ W/C Birth weight 0 Asthma pt M F Sib GP Stretcher Complications: 0 Bleeding pt M F Sib GP 0 Carried Anomalies: 0 Bronchitis pt M F Sib GP Informant: Other: 0 Cancer pt M F Sib GP 0 Patient ALLERGIES (Meds, Food, Contact, 0 CP pt M F Sib GP 0 Family 0 CF pt M F Sib GP 0 Other ~KA 0 Diabetes pt M F Sib GP 0 Unable to obtain info 0 Down's pt M F Sib GP (unresponsive &/or unaccompanied) o Allergen Symptom 0 Heart Px pt M F Sib GP Oriented to: 0 Hepatitis pt M F Sib GP 0 Surroundings 0 High BP pt M F Sib GP 0 Siderails/calllightfTV 0 HIV/AIDS pt M F Sib GP 0 Telephone 0 Kidney Px pt M F Sib GP 0 Visiting hours 0 Liver Px pt M F Sib GP 0 Smoking policy Latex screen 0 Pneumonia pt M F Sib GP 0 Electrical equipment o NO KNOWN LATEX ALLERGY 0 Rheumatic fever 0 ID/Allergy bands o Allergy to bananas, avocados, pt M F Sib GP 0 Admission type: chestnuts 0 Seizures pt M F Sib GP Inpatient / Observation o Known allergy to latex 0 Sickle cell pt M F Sib GP 0 Cots o Multiple allergies 0 SIDS pt M F Sib GP Equip/Aids brought in: o Swelling/itching/hives after blowing up 0 Stroke pt M F Sib GP 0 None balloons or being examined by 0 TB pt M F Sib GP Pt, Home someone wearing gloves 0 Ulcers pt M F Sib GP 0 Glasses - - OSpina Bifida 0 Other 0 Contacts - - 0 0 Hearing aid - - IMMUNIZATIONS 0 Walker/ UTD ~mmunizationS? Major Surgeries / Procedures CrutcheslWC - - Y OW 0 None 0 Dental .List missed immunizations 0 Appendectomy Apparatus - - 0 Cleft lip/palate 0 Security o Hemia ~/Uf object - - Date of last: orT&A 0 Jewelry - - Flu vaccine 0 PET Describe W Other ('),f)~jcr1 Af[W~L Pneumococcal vaccine / 0 Other o IMZ schedule give to care provider .Valuab/es kept at patient risk, Signatur~t~-/L-- Nursing Admission Assessment Page 1 Pediatrics City Hospital, Inc. Martinsburg, WV rev. 5102 DateAr Time 03?0 '"'VVV"1; IlTJtl"J "'--(j"J/l'J:Y~N LEE,XNGRXn V00001195795 ADM IN 02/03/1998 6/F 424A KNUTSON DO,THOMAS E JR KNUTSON DO. 'T'H()M.a"~ '" .TO C4P..oOO1 '. HOME MEDICATIONS Include Prescription, Over-the-Counter, Notify Pharmacy of any alternative o None and alternative meds such as herbs or meds being used. o Sent home with home remedies, o To Pharmacy Medication DoselFrequency Last Dose /J'u^-fif' ) Uf/ PSYCHOSOCIAUCUL TURAL P~ry Care giVer~).& EDUCATION I TEACHING Be~ior: Parents - (Y1.6 v ASSESSMENT Calm/cooperative/playful 0 Grandparents Barriers to learning 0 Anxious/restless/tearful/clinging 0 Other EYNone 0 Irritable/angry ~~qY 0 Legal custody [] Age 0 Combative Stressors: [] Auditory / Visual DruglAlcohol use 0 Divorce o Death [] Cultural 0 No 0 Illness o Moving [] Emotional/ Cognitive 0 Yes: Type 0 Birth o Other 0 Financial Concerns Amount [I Language Tobacco use Child's rx;;~ parental separation: D Religious Beliefs (i -~- lot 0 No D Physical Limitations 0 Yes: Type Parents rxn to separation from 0 Difficulty Reading 1 Writing Amount daily child: Describe any positive item above # years Child's rxn to strangers: "naf pert" Relig~S/$Piritual Affiliation Special fears: R~iness to learn ,~1 ,1:fto..n Suicidal thoughts o Y' ON B Eager Can we contact anyone for you? 'Describe 0 Accepting o Y' ON 0 Denies Need , 0 Refuses PAIN ASSESSMENT ~ ~f!j Educational Needs List any treatments that are o No Known Problem Jt -, '- trJDiph U/ Disease Process unacceptable to you o Location /711 o ,..--ADL's & Discharge o Duration j Y1 OJ( IT Treatments / Procedures S~I Grade 0'rdlADft ft;/fl 0 Intensity (0-10) 0 Equipment 0 Relieved by 0 Medications Like 0 Dislike ' 0 Diet (enter Nutrition Consult) If multip/e sites of pain, detail in narrative 0 Other Future plans notes How does patient/family report Hobbies /Interests: ~VIOUS BLOOD TRANSFUSION ~ learning? No 0 Yes; date Visual o Reaction: o Y' ON 0 Verbal 'Describe 0 Written Signature c:;fJI;xLZ&O::CC~ Nursing Admission Assessment -- Page 2 Pediatrics City Hospital, Inc, Martinsburg, WV Rev. 5/02 RN/LPN Date s/;/ T. 030 Ime LEE, INGRID VOOOOl195795 ADM IN 02/03/1998 6/F 424A KNUTSON DO, THOMAS E JR KNUTSON DO.~QOMAS E JR A_ /11 /"A '. NEURO I SENSORY I COGNITIVE ~ No Known Problems o Fontanel: 0 WNL 0 Closed o Bulging 0 Sunken o Hearing Impaired Describe o Vision Impaired Describe o Speech Impaired Describe level of Consciousness 0/' Alert (\JUt~o o Oriented x 3 r~ tJ " n o Disoriented to ('( , (J\ LillJl.W-t o Lethargic o Unresponsive o Inappropriate response to questions o Does not follow commands Pupils o Equal o Reactive o Unequal: larger 0 R 0 L o Pinpoint o Blown Eyys [2( Moist o Dry, not tearing O~I Mucous Membranes 0' Moist DOry/cracked o Tongue swollen ReSPIRATORY Ei' No Known Problems o SOB: 0 at rest 0 on exertion o Labored o Flaring o Stridor o Retractions o Cough: 0 NP 0 Productive, describe B~ath Sounds rzf Clear throughout o Wheeze: 0 inhale 0 exhale o Decreased: 0 right 0 left o anterior 0 posterior o Rales / rhonchi: 0 right 0 left o anterior 0 posterior o Trach: type o 02 at home L / min 02 Sat % if known Signature }lido[ ('/./ lLoca:/z- ~ Nursing Admission Assessment - Page 3 Pediatrics City Hospital, Inc. Martinsburg, WV Rev 5/02 TB Screen If the first item is positive along with any other item(s), place in negative airflow unless other diagnosis has been confirmed, o Significant productive cough >2 weeks o Cough up blood o Fever recent or on admission o Night sweats o Recent unplanned weight loss> 5 Ibs, CIRCULATORY H~ Sounds 0' WNL o Abnormal Describe Rhythm (2('Regular o Irregular Describe P~ipheral Pulses x 4 0' WNL o Decreased Describe Other o j\lo known problems ~Pedal.edema @ iro:t Descnbe -i:b L.. / o Other , Describe DIETARY HABITSIPREFERENCES Food likes Food dislikes Diet taken at home: o Fonnula o Baby food Other flUlr' R.N. Date ..:s,J / /' ...-'V"..I".tT!'iJ&.t.. GIj GU if No Known Problems o Potty trained S!!Cking rf N/A o Strong/normal o Weak/impaired Ab~omen r;;r' Soft o Firm o /Distended D Nontender o Tender o G-tube o Ostomy BO)llel Sounds cr Present x 4 quadrants o Decreased Describe B9Wel Habits I3' Regular o Irregular o Diarrhea '0 Constipation ~./ Laxative Use . { t;r Color hOYYt1Q( Ii!' Last BM .f5J.ly o Incontinence GI Symptoms o Nausea o Vomiting o Bleeding Uyine ~ Appearance WNL o Altered appearance Describe o Frequency o Dysuria o Foley o Ostomy o Incontinence Menses ~ e-None/ t applicabl IJ Regula o Irregular lJ Date of onset [J LMP [J Pregnant Discharge [J Vaginal [J Penile Time 03.3?O ..\,I"......, 'J.JU"'. LEE,INGRIn VOOOOl195795 ADM IN 02/03/1998 6/F 424A KNUTSON DO, THOMAS E JR ~~~N_ DO,THOMAS E JR INTEGUMENTARY o ~ool ~ Warm ICJ Dry O/Diaphoretic E:J Color WNL o Pale o Ashen o Flushed o Cyanotic o Jaundiced o Intact Altered: Describe alterations and note locations on diagram Braden Score Total c9 I Sens,pry l3'No' impairment" 4 o Slightly limited = 3 o Very limited = 2 o Completely limited = 1 Moist!,lre l:af{arely =4 o Occasionally = 3 o Moist = 2 o Constantly = 1 Activity o lJyalks frequently = 4 li:rWalks occasionally = 3 o Chair fast = 2 o Bed fast=1 Mobility o No limitations =4 a-Slightly limited =,3 o Very limited = 2 o Completely immobile = 1 Nutrition g-6cellent " 4 EI Adequate = 3 o Probably inadequate = 2 o Very poor = 1 Fri,ctieh & Shear f:f No problem = 3 o Potential problem = 2 o Problem 1 Signature RN, Uff~ Nursing Admission Assessment - Page 4 Pediatrics City Hospital, Inc. Martinsburg, WV REV 5/02 o . ~ '- /'- -I -I ( )(~ ,/ 1.!..11 lit A = Abrasion B = Bruise R = Rash S = Scar W = Wound D = Decubitus SU = Stasis Ulcer S}t) 7'\.,_;;r2 / '\ Date' Time LA <..-.-'U , nv".......'..r-...t.I7"""':.,--;- i "" -..,.,....,."...'J.,"~ LEE, INGRID VOOOOl195795 ADM IN 02/03/1998 6/F 424A KNUTSON DO ,'rHOMAS E JR KNUTSON DO. mOMAS E JR Mnnn1 "'lnl;j:;"); (IE; I' 1 Inl1 " FUNCTIONAL SCREEN Developmenta!!Jvappropriate for stated age? ~ ON' 'Explain: Assistance Needed For o None o Feeding o )>lygiene GY Activity Balance I Gait o Steady o ,)Jnsteady ff Unable to assess o Other: Any * items require Functional Screen ~Moves all 4 extrem' ies equally 0 Y N* t1.C; Explain: t6 L '"-G ~ Reflexes WNL 0 Y 0 N* ~xplain: IT Rolls/Turns / Sits /CsawlslWalks WNL for age 13 Y 0 N* 'Explain: o 'Fracture in last 30 days affecting ADL o 'Other anticipated Rehab need; specify_ NUTRITIONAL SCREEN Diet prior to admission o No needs identified High Risk items (*J require Nutrition Screen o . NPO (other than preps/tests) o . Breast feeding o . TPN/Tube feedings o . Impaired chewing or swallowing o . Unintentional weight loss/gain > 10% in two months o . Chronic N N /0 o * Multiple food allergies/aversions o * Any trouble following special diet o . High risk diagnosis: Cancer, Burns, HIV/AIDS, Developmental delay (affecting intake), Major surgery/trauma, Inborn error of metabolism / malabsorption, Sepsis / Infection; Diabetes; chronic renal, liver, lung disease; cardiac disease, Cerebral palsy pregnancy, FIT o Other DISCHARGE PLANNING SCREEN 8 No needs identified ANY ITEM checked below requires Clinical Care Coordinator Consult o Admitted from Nursing Home/Group home/Sheltered workshop; Specify o Receiving Home Health prior to admission; agency o Chronic disabling illness or complex physical needs; specify o Discharge with equipment (apnea monitor, etc.) o Signs or symptoms of abuse or neglect o Readmitted within 30 days of prior discharge o Hx of home injury/falls o Financial needs o Needs support for ADL's (meals, transportation, etc.) o Discharge planned to place other than home o Teen pregnancy with familylfinancial difficulties o Homebound teacher - anticipated absence from school? 5 days INTERDISCIPLINARY REFERRALS 0 None Indicated PATIENT PROBLEMS LIST 0 Functional Screen 7 Rehab Circle all applicable. Complete Notified date time by Interdisciplinary Care Plan. 0 Nutritional Screen 7 FNS Notified date time by Protection ~ CopinglComm/Spirit 0 Discharge Planning Screen 7 Clinical Care Coordinator 2 Patient Education 10, 'Age Specific Care Notified date time by 3, Mgt of Health : Tenninally III/Dying 0 Patient Education 4, Comfort 12, nfection Notified date time by Nutrition 13, Cardiovascular 0 Cardiopulmonary 6. Elimination 14. Discharge Planning Notified date time by . Oxygenation 15, Other 0 Other 8, Activity Notified date time by I have been advised to send all valuables home or to the hospital security safe. I accept responsibility for valuables, money, and personal devices, including dentures, that I bring to the hospital and keep at my bedside. I have received inf rmation about Advance Directives and organ donation, and the Patient Information Guide. The nurse has reviewed n f r for his s' , tion with me and/or my family, Nursing Admission Assessment Page 5 Pediatrics City Hospital, Inc. Martinsburg. WV rev 5/02 R.N. :;,!// . Date Patient/Family signature Time Q~v LEE,XNGRXn V00001195795 02/01/1 QOD ,. 1_ ADM IN " '- DATE DfJ,n /<1-4:5 \\Q3,-o TIME NOTES PATIENT PROGRESS NOTES NURSING CITY HOSPTIAL, INC MARTINSBURG, WV 25401 3851 (REV. 01-95) LEE,rNGRID VOOOOl195795 ADM IN 02/03/1998 6/F 424A KNUTSON DO,THOMAS E JR KNUTSON DO,THOMAS E JR M000170563 05/11/04 ", '. DATE 51, , TIME NOTES ao~~.-pl. ~" :J..(S Rr--J ~ PATIENT NAM LEE,INGRID VOOOOl195795 ADM IN 02/03/199B 6/F 424A KNuTSON DO,THOMAS E JR KNuTSON DO.THOMAS E JR Mono, "o~c. ....... J~ ~ ,~. " \ I DATE: MO-DAY-YEAR . ") II J I OLI Patient Activities Codes (PAC) I ' o - no set up or physical help 1 = Set up help only 2 = One person physical assist 3 = Two + persons physical assist . indicates placing PAC with initials in appropriate space, Initials indicate affirm NIGHTS DAYS EVENINGS FUNCTIONAL ACTIVITIES TIME b'1?}.: Inlio 1I(03~ BATH .5J V C=COMPLETE A=AssrST H=HS CARE S=SELF /'~ V S=SHOWER T=TUB ~ LINEN CHANGED ~ PERINEAL CARE 1.;,( /' ORAL CARE/DENTURE CARE' ~ ,/ RANGE OF MOTION P=PASSIVE A=ACTIVE It 1/ BED TO CHAIR' ---- BATHROOM PRIVILEGES' - ~, AMBULATORY' - /' POSITION CHANGED (q2h)' 0 0 .0 BED REST ',Z IlV I" tV SLEEPING U=UNINTERRUPTED 1=INTERRUPTED LA --r 1- SPECIAL BED I TYPE: ASSISTIVE DEVICES (Iisl) DIET B L 0 - % OF DIET CONSUMED ' j(\C1j.. 1kY1J , F=FEED S=SETUP C=CUE SAFETY SIDE RAILS RAISED X2-X4 'l 'X2 L CRIB RAILS UP - ---- ~ BED FRAME D=DOWN J. 17"-. D CALL BELL IN REACH -1 ::N i)!b.J FAMILY I S,O. PRESENT JYVJ}1\ (liLl\ rrm, ISOLATION: TYPE 5 <) <:, TRACTION FRAME SAFETY CHECKED I BED CHECK FOR l' FALL RISK ELIMINATION TIME D BOWEL MOVEMENT Y=YES N=NO 1'\ i'--) i" - -, .:.---- VOIDING Q SHIFT Y=YES N=NO tJ y CATHETER CARE I - c/ OV J PATIENT CARE RECORD Patient Infonnatlon , """""~' ............... "-',......,...." CITY HOSPITAl,INC. MARTINSBURG, WV 25401 LEE,INGRID VOOOO1195795 ADM IN 02/03/1998 6/F 424A KNUTSDN DO,THOMAS E JR , (This side to completed by RN or LPN only) IV THERAPY TYPE: P-Peripheral C=Central Venous line PIC - PICLlNE NIGHTS DAYS TIME ~ J \?'cu .olU ( I I I I -lI"! \:v ~ EVENINGS SITE CHECKED TUBING CHANGED Jl{j MISCELLANEOUS: I \ \ FALL I BED RAIL ENTRAPMENT RISK Completed on all patients @J admission Time 1C onf U'slo'~n'I"'ls"O~f'I"e"n..ta' .'lo....n.' "," ;~;" 1),Ii': "-'''',' . ..""" ,." ~ .;?~ ,', '",.,,- -, \1,._,.,;" JL.;,,+:;}8;!:m':~;"i;,~;v'~',~"~ii;f,i:v,ifii.'r<,t;~ o - oriented at all times or comatose 2 - confused at all times 6 - intermittent confusion 2, it Davs in'Cun'ent'BildtAssiofnilent, ,'?, r"'~:'}~ o - over 3 days 2 = up to 3 da s BRADEN SCORE (enter # in box) "Score < 18 see Decision Tree" 3, ~ 1- completely limited 2= very limited /I ~ 4=no.ent ~~ 1= constantly 2- moist 11 tl\i.'i',;,;I~i#- 3 occasionally ~rarelY ~ "'L\"I !.!:l:i.'. ~ 1- bed fast 2- chair fast I n 3 walks occasionally ~= walks fr uentl ~~~Mril:lm' . ~mobiie 2- very limited -, j 3- *~~;illfJt~P7i~= Ml' 1 very poor 2= probably Inadequate 3= adequate 4- excellent ""..',,':,...t'!(.,,".' '''''";''~..,r't'''c.t't..Q... 'n. ."a.'n..d'S.h.'..e....a"...."'.",".","'.'"t.t.,"'''.'"",fu,' t"_,'"' '.'" ~\j.:"(.i.h'ik!,;;:<1\-1:}-b~t\s;r;r1.~!~JT, ,: _ ,,> - _ ,'.' L'_.-. _ -'j*'~'*'B~,,~ty.;'~!;ir#~illlij~1~ii~);t 1- problem 2= potential problem f7 3- no problem ---J o = Independent 1 = catheter andlor ostomy 3 - elimination with assistance 5 - incontinence 4:;~:Q:~i~~~~(/a$(',Q'~i'iPn\l!l~ 6 = hlstor of falls 5..i\tj~t;a'''*'' 6:jOij'Q eal'iri' airm:erjt~i1 ',' !)tlt .. n .,"""",.. ''''::';'(3:'''''' >'f'ij" :"_-,~",,..,,;;- .,.', al ..l!'f<l 1 = wide base of support 1 - loss of balance while standinQ 1 = balance problems when walking 1 = decreased muscle coordination 1 = use of assistive devices 6 unable to et out of bed l\.,MElClltati01' $~ "'Jlantl '" -. ) ,,:~a'iili ".'''M''~o' . o = no medications 1 - 1 medication 2 - 2 or more medications 1 = with chanoe In med or dose Dast ~ ~ ',.~" Initiate Fall Protocol Intervention SCORE: 6 - 9 = Moderate risk 10 or > - High risk , TOT ~ SCORE CJ, I Inltials:?ftJ I Signature:H:d; 1Ul j) '''''' rl" A. INIT SIGNATURE INIT SIGNATURE 1\ ,,(, / II'>>/ J I lilY! L\\.Il~ I2L, lU '" tiC" :',,,, f\/ fI/ ffi\{1 '7/r.U/ .. nilVr'L t/ , I . '.', " ,'.. Patient Information LEE, INGRID V00001195795 ADM IN 02/03/1998 6/F 424A KNUTSON DO, THOMAS E JR KNUTSON 00. THOMAS E JR M000170563 05/11/04 " 'INDICATES COMMENT REQUIRED IN NARRATIVE NOTE. INITIAL APPROPRIATE BOX. DRAW A LINE IN BOX NOT USED. DATE: MO-DAY-YEAR ii~,~(tl."",:!~, ALERT ORIENTED TO PERSON, PLACE, TIME COOPERATIVE , LISTLESS AND LETHARGIC , CONFUSED , UNRESPONSIVE , ANXIOUS , MOOD ALTERED , RESTRAINTS , PAIN SCALE ~~!:m:~"~--'~'~~-~~~-' ''''''''''-'-'-~'-~ ",> 0- , ' "<<<" ~1( _~,,",..l ~_ ~,_".J:""'.__'<L!V~"~~_~""""'-~~4"',""",~' RESPIRATIONS R=REGULAR 'I=IRREGULAR LUNG SOUNDS C= CLEAR 'A=AL TERED , REQUIRES SUCTIONING , REQUIRES 02 COUGH 'P=PRODUCTIVE N=NON,PRODUCTIVE ABDOMEN APPEARANCE N=NORMAL 'A=ALTERED BOWEL SOUNDS N=NORMAL 'A-ALTERED , NN, EPIGASTRIC DISTRESS FLATUS Y=YES N=NO TUBE TYPE: P-PATENT PL=PLACEMENT CHECKED OSTOMY TYPE: BLADDER DISTENTION 'P-PRESENT A=ABSENT GENITAL APPEARANCE N-NORMAL 'A=ALTERED CATHETER PATENT 'ALTERATION IN CATHETER DRAINAGE 'VAGINAL DRAINAGE SKIN N=NORMAL 'A=AL TERED (Refer to 'Wound and Skin Documentation Tool") INIT. SIGNATURE Patient InformatJon - -, - -, ~ - 24 HOUR SYSTEMS REVIEW CITY HOSPITAL, INC. MARTINSBURG, WV LEE,XNGRXn VOOOO1l95795 02/03/1998 6/F ADM IN KNUTSON DO, THOMAS 424A KNUTSON DO E JR M000170S61 ,THOMAS E JR . , 05/]]/04 F4288 Rev. 05/02 '. ~. . NURSES NOTES (This 24 hours only) Time 511 ~/ 04-- Time lJ4J: iUfPA1.l:C c. ..1 '".,n) p;JiV-Jr an9/n J)W. I^YJ;ML Dlll11 ',1/1~ laY hd. }fS}/ U ;?Ll/: ,/ ,. I1V.'..L ,/v /..LIJ), / '7i. f)p Ii y -/f-, ia J (f/DD Ibs \5.1. \kYJ..rchiYLo.. r Vf'CLhY'C\blCMw'i mDrn n1 n." /It. nu::lco (,\'VOA. cfl. u W/IIL r\l(;n"v, "" dru- -hl("(\l'<.~;;D~ {'nO 11\tl;.k2.",,<- VuL'liA A'1I-JJ'''';,r t,./i. fllWL. ~Iln OOi.n(Ci),M.O.f\of\1- ~v~ ~cc I1lltr.n[)./'c 0Mfp/ni hJd rnllUuIJ...,d'/!1l-orl 1.J:'e IAVliJ-; hll [b'-)t O-r"K..l'Jr ''Lid I\.Jf Ir)Q30 I mo rl;;, (I,.. .oi..hJj '" I'r'd 0 ; rfJ ~'f;:'o Po. /") . < 0~..irl.:J..O ,""", Cfo (i;) ;1"" Ai.,) /lrrY'YlJ,,,,,t A7-l-.-Uri JollO /"mil, .rv>L~ ,f),(o':r,,6 ' J1fU rnJ1f!. (0 .0l11 '0'- I'1Y1 .1\, 'u 6"" ,). (".Ai" ,r/j, , uCvy,rl .1M fn~'f. Q u,,,1- [)p l'"hfO, , VlI LI. J OJ hu..}; . L U fl. 1>1., B '1JJ.,LU,;,. {/) vvp,:""J, LkJL) .:; ~I f'Y'n,",~,,,,,.~r I'l/YlI'IL .l\O r,. 4-; ~'\'YJ~ dN i'mJ t h, 1.:J .OM. .c", /Jv";,.,,,./UoR.u - 1700 IV De'd, .Ad~/llll, d.. ,~Bf". IV f'.n#1 -1,.0 J.;"h,j.t.. '0. f!y)j. j~,,1.) , . Int.:SI:S Sianature:.s, fJ.,. '.{I. RI\\ Int.: Signature: Int.: SiQnature: 24 Hour Systems Review City Hospital, Inc. Martinsburg, WV 25402 Int.: Sionature: Int.: Sianature: In' . '" .Siona\lJre: ..~, LEB,INGRID VOOOOl195795 ADM IN 02/03i199B 6/F 424A KNUTSON DO,THOMAS E JR KNUTSON DO,THOMAS E JR Mnnn17n~~l n~/l1/n4 I I . DATE: MO-DAY-YEAR <.. ~ fT:J Ill'! Patient Activities Codes (PAC) 1 o ::: no sel up or physical help 1 ::: Set up help only 2 = One person physical assist 3::: Two -t persons physical assist . indicates placing PAC with initials in appropriate space, Initials indicate affinn NIGHTS DAYS EVENINGS FUNCTIONAL ACTIVITIES TIME OJ{) I be<l') i /q-{) BATH -. / C=COMPLETE A=ASSlST H=HS CARE S=SELF F\ ,/ S=SHOWER T=TUB ~ ./ LINEN CHANGED -- ./ PERINEAL CARE -..... 1-;1 ORAL CARE/DENTURE CARE' -I 1 I RANGE OF MOTION P=PAS$IVE A=ACTlve 1 A / BED TO CHAIR' 'l ;2 }. BATHROOM PRIVILEGES' Q. a :J... AMBULATORY' ;..---- ~-3 !)... POSITION CHANGED (q2h) . :2 Q 0 BED REST ~ I {u.... S6 SLEEPING U=UN1NTERRUPTED I=INTERRUPTED - '- T ~,IO SPECIAL BED / TYPE: ASSISTIVE DEVICES (list) DIET B l 0 % OF DIET CONSUMED 5fft ::;:;:-1" ."'\ F=FEEO S=SETUP C=CUE - \. "---- SAFETY i-- SIDE RAILS RAISED X2-X4 '~ XI.. X;). CRIB RAILS UP /' ~ -------- BED FRAME D=DOWN .J t> ]) CALL BELL IN REACH , ~ VB ~ FAMILY/ S.O. PRESENT ^,- rrorfl ISOLATION: TYPE ( J I <1. ~ TRACTION FRAME SAFETY CHECKED BED CHECK FOR l' FALL RISK ELIMINATION TIME ~. BOWEL MOVEMENT Y=YES N=NO /lJ ./J N /' -- ./ VOIDING Q SHIFT Y=YES N=NO yo V Y CATHETER CARE I I / I / PATIENT CARE RECORD Patient Information CITY HOSPITAL, INC. MARTINSBURG, WV 25401 LEE,INGRID VOOOO1195795 ADM IN 02/03/1998 6/F 424A KNUTSON DO,THOMAS E JR v""......."n __ , (This side to completed by RN 0' LPN only) IV THERAPY TYPE: P=?eripheral C=Central Venous Line PIC - PICLlNE NIGHTS DAYS EVENINGS >;TN.. OlI45 "P ( / { ILL.~ / ( 4'-' 1500 1-' TIME ,00 ~ SITE CHECKED TUBING CHANGED S,~ MISCELLANEOUS: Tee To (I";; Jec:v- 5P., FALL l BED RAIL ENTRAPMENT RISK BRADEN SCORE Completed on all patients la) admission ("nt", # in box) 'Score < 18 see Decision Tree" Time ;', ;; 1. Confusion/diso(ientatidn ~.':','.<:.;: ':';. "0 ;.tI=.:.'; . J:", ".,'1 1 completely limited 2- very limited o oriented at all times or comatose 3 sl~ limited 4- no impairmer 2 confused at all times ~ ~ 6 _ intermittent confusion 1 = constantly 2= moist 2. # Davs'iil'CtirrentBed 'Assiahme\10A:F;:~;.j!:y~ ~ 3 occasionallY s 4 rarely o over 3 days H,'.'"..2.:J 2 = UP to 3 days 1 = bed fast 2- chair fast , ,...".; ~ccaSiOnallY 4- walks freauentlv 0- indeoendent ~ 1 _ catheter andlor ostomy 1- completely immobile 2= verY limited ::==:.'~;"M~ l~ ,~~~ 4. Histoni oftatls Ilas'f6~ 1= verY poor 2= probablY in~ 0= no historY ~ 1'3- ade uate 4= excellent I 5.V~:a~I~~~~~:~~'6Ei'<lill)llr " i(m!lii~' 1= problem 2= ootential problem ~.; 6. Chronic:disease r06ess'siJ 3- no problem I neurOlQg'i~1 im (3 plsY: i~';o 7. GaiVbalan . 1 = wide base of support 1 = loss of balance while standinq 1 balance oroblems when walking 1 - decreased muscle coordination 1 - use of assistive devices 6 - unable to eet out of bed 8. MedicatiQns Isoote;all tl1a"l (antitiista1n1ne,'antlh .'H 8I1tici)n'-llJ!sant:tijhlref twpo!'live,emics; seaa!iyesthVnnpt cathartiCS. ariceDtl ':> . o - no medications 1 - 1 medication 2 - 2 or more medications 1 - with chanae in med or dose past 5 days ~ ;nitiate Fall prot:collnt~ntion SCORE: 6 - 9 - Moderate risk 10 or > - High risk s, -: .. :,';') ',:'C,' 3. TOTAL SCORE Initials: I Sianature: INrt SIGNATURE >f-A <A UJl JlIHr I( A I I'll, I W~' ~ ^,i.j AJT' v INIT SIGNATURE SP, 5 f'y-,,,:,,..ilo RA,} Patient Information LEE. INGRID VOOOOl195795 ADM IN 02{03/1998 6/F 424A KNUTSON DO,THOMAS E JR KNUTSON DO,THOMAS E JR M000170563 05/11/04 , NURSING DISCHARGE RECORD Date & Time of Discharge: S},LIO'-I 1'7/0 Condition on Discharae (check all that aDDlvl '-J Alert IV Status: Foley Catheter: Other Equipment: - '-' Oriented Intact Intact Intact - - - - ~ Vital signs stable "'-i Discontinued - Discontinued - Discontinued - Confused _Not Applicable ::::::!- Not Applicable _ Not Applicable _ Lethargic _ Specify Equipment: - Comatose ."'-....J Ik. Dl..J.Jo^\Q d lNCLtl:.l,.- Deceased Valuables/Personal Belongings: _ Returned to patient/family/taken home before dc Medications returned to patienUfamily: - Sent to funeral home _ Returned to patienUfamily ----, Not Applicable ~ Not Applicable Discharged: Via: To: Accompanied by: ~ Ambulatory ~ Auto/Cab '-.....J Home "-i Family ~ Wheelchair - Ambulance - Transitional Care Unit Friend - - Stretcher - Funeral Home Staff - - AMA Name Volunteer - _ Child carried by - Other mother Nursing Diagnosis: '" PatienUFamily verbalizes understanding of - All Resolved discharge instructions given by physician - Active Referrals: ~ Physician written instructions given _ Dressing Change: ~ Activity/Limitation: Co.'l fCru.<n Th Sthoo I Miscellaneous Comments: ;3 P.e:: _ Signs/Symptoms of Infection: _ Medication Regime per physician ~ Prescriptions: J;-~I(nol f CodeiN '1,Ii'(I<- , Po Cillo" _ Food & Drug Interaction (instructions given) ~ PatienUfamily instructed to contact physicians regarding concerns/questions. \.~J\'J\10-. "111n?CW6 NT Sionature of Discharaina RN PATIENT IDENTIFICATION NURSING DISCHARGE RECORD , CITY HOSPITAL,INC LEE. INGRID ADM IN VOOOO1l95795 MARTINSBURG, WV 25401 Rev(Oa.g8) 02/03/1998 6/F 424A KNUTSON DO,THOMAS E JR KNUTSON DO,THOMAS E JR M000170563 05/11/04 F3520 " EDUCATION CODES A. Questions answered B. Verbal information provided C. Written information provided D. Task Demonstrated E, Audiolvisual teaching tool used F. Referral to outpatient education G, Not applicable PATIENTlFAMIL Y EDUCATION RECORD FRACTURE LEARNING CODES 1. Needs further instruction 2. Stated understanding 3. Return demonstration, with help 4. Return demonstration, independent 5, Unable to understand 6. Refuses information Information Taught (to Patient or Support) Educ. Learn. Comments Code Code Initials/Date I. Definition - Fracture 'iiJs )'(J::, '? LVX' "1 II II. Exolanation of Procedure Completed p [;L, 'J- 01'7:' , S .)1 I III. Pain Mana!!ement PIS A. Site PIS B. Severitv PIS C. Duration PIS D. Use of oain scale PIS E. Medication use PIS F. Other oain relief measures PJS IV. Post-Oo Care i-~ A. Neurovascular assessment ~ W L I' B. Elevation " , .< " C.lce S h ..., , c' " D. Medications IV~ /) < II 1. Pain ). ..: c /I 2. Antibiotics S)W 1- '71, .S) 11 E, Cast care or dressi.,!! chanaes PIS v F. Complications PIS 1. Infection PJS 2. Loss of mobilitv PIS G. Education PIS 1. Anticoaaulation theraov with PIS Lovenox, Heparin or Coumadin. PIS a. Avoid OTC meds without ohvsician PIS knowled!!e. PIS b. Avoid herbs without physician PIS knowled!!e. ~ H. Rehab - physical theraov S) \-'> ':) Wy J II 1. Exercises (2 'd ' A C II 2. Gait trainin!! P , ;) jt<! ---z;' '1 3. Wheelchair transfers "f>/S 4. Walkerlcane use PIS I. Rehab occupational theraov PIS 1. ADL's PIS 2. Strenothenina exercises PIS 3. Assistive devices PIS Initials Name Patient Label ( /\ .. 1(,"" A c'j{/] ( ''-kI'1n'[CU .I.U 'iYcf--- , J LEE,INGRID VOOOO1l95795 02/03/1998 6/F ADM IN KNu 424A TSON DO. THOMAS E JR CITY HOSPITAL, INC. MARTINSBURG, WV 25401 KNUTSON DO THOM M000170563' ~ 1~1~~4 , ~ ,.J ~ PATIENT/FAMIL Y EDUCATION RECORD A. Questions answered 1. Needs further instruction B. Verbal information provided 2. Stated understanding C. Written information provided 3. Return demonstration, with help D. Task demonstrated 4. Return demonstration, independent E. Audiolvisual teaching tool used 5. Unable to understand F. Referral to outpatient education Refuses information G. Not aoplicable Information Taught (to Patient or Support) Educ. Learn. Comments ('''''. ('''''. Initials/Date PIS REHABILITATION SERVICES: PiS Exercises PIS . m Gait Training (p., 1'1' ill iOO f\U'*-- i2J. rll fLtn r <;i0 .<)/1/ I 'i>/S I1JOO(Jr" I Weight Bearino Status PIS PJS i Precautions PIS \ ri ~ Bed Mobilitv f'J .:.j 90<;-{uIO PIS Home Safetv PiS PIS Energv Conservation PIS PIS I Joint Protection PIS I PiS Adaptive Device Use PIS PIS ADL Retrainina (Bathing, Dressino, etc.) PIS PIS Positionina PIS PIS Toilet I Tub Transfers PJS PIS T"+.v i S'f-f.fJ (elS . 13, 2- <;0 01dD I PIS Initials Name Addressograph C;r0 ",,",. Y'rlVu.--, P-r--' LEE/INGRID VOOOO1195795 ADM IN 02/03/1998 6/F 424A CITY HOSPITAL, INC. KNUTSON DO, THOMAS E JR KNUTSON DO, THOMAS E JR MARTINSBURG, WV MOOO170563 05/11/04 EDUCATION CODES LEARNING CODES ()~ if 't ~ City Hospital Radiology Services Martinsburg, WV 25401 DIAGNOSTIC RADIOLOGY REPORT Patient Name: LEE,INGRID DOB: 02103/1998 Age: 6 Sex: F Ordering Physician: KNUTSON DO, THOMAS E JR Family Physician: LOBATON MD,CHERRY Technologist: Jennifer Fincham Unit#: Req#: Acct#: M000170563 04,0025938 V00001195795 Location: Room # : Auth#: 4P 424-A Report Status: Signed Exam: OX FEMUR, L T 2V CLINICAL HISTORY: Fracture. Exam Date: 05/11104 LEFT FEMUR: There are two intramedullary rods in place aligning the mid femoral shaft fracture. There is anatomic alignment noted in orthogonal projections. The tip of the rod is noted proximally below the level of the lesser trochanter and distally projecting over the distal third segment of the femoral diaphysis. IMPRESSION: There is anatomic alignment of the femoral fracture as discussed above. <Electronically signed by DIMITRI MISAILlDIS MD > DIMITRI MISAILlDIS MD Dictated by: Signed by: Trans: DIMITRI MISAILlDIS MD DIMITRI MISAILlDIS MD BJW Diet dUtm: 05/11/041516 Signature dUtm:05/12/04 1033 Trans dUtm: 05/11/041559 cc: KNUTSON DO ,THOMAS E JR LOBATON MD,CHERRY Reprt #: 0511-0184 1 of 1 Patient Location's copy c, (Y) to N """ '" :E III n.... E E E lI1~EEE ~ ISJ~Ul(S)\D N(S)(T)())IS) ...--t.............. ....... '<t IS) >-- a: :E .... .... W I- I--(f)Z a: Ula:a: Ck: >-HW UlQ:E I- o:::ruo...a..a.. a:001~~ WlljHHt-4 IUlZZZ: CITY HOSPITAL, INC. - MONITOR RECORD - LEE INGRID VOOOOl195795 REG ER 02/03/1998 6/F VAN DONGEN MO.PHILIP C . "'n.T.....' oAr> t"',...-nn\1 TIME: NURSES' NOTES AATE: RHYTHM: P WAVES: P-A: QAS: Q-T: RATE: RHYTHM: P WAVES: P-R: QAS: Q-T: RATE: RHYTHM: P WAVES. P-A: QRS: Q-T: RATE: AHYTHM: P WAVES: P-A: QRS: F<HYTHM: P WAVES: P.A: I QRS: , I hereby consent to the administration of anesthesia and authorize that administration by or his/her associate, all of whom are credentialed to provide anesthesia services at City Hospital, Inc and consent to an alternate type of anesthesia if deemed necessary by them. I expressly desire the following considerations be observed or write "none" I certify and acknowledge that I have read this from or had it read to me, that I understand the risks, alternatives and expected results of the anesthesia service and that I have had ample time to ask questions and consider my decision. DATE & TIME pL~ .J~t~ WITNESS PATIENT'S SIGNATURE ~ .f.wUI2 1\ RELATIONSHIP TO PATIENT ..- ~ REASON ~^"A"A"^"AY^YA"A"A"A"^"A"A"AY^"K'^"A"^"^"A"A"^"A"A"'AYAYA"A"A"A"^"A"^"-t,..:~A"A"AYA"^YA"^"A"A"AYAVA"A"^"A"'AvA"'^"A"A"A"A""'''A''A''A''A'''^''.f.,.''A''A''.i;<..''A''A....<\..... I certify that the above named patient (or to anesthesia as explained by myself on this date. / ) has received an informed Consent relating II' .:J tr DATE MOOO 17 0563 05110 I 04 CONSENT FOR ANESTHESIA CITY HOSPITAL, INC. MARTINSBURG, WV 25401 LEE INGRID V0000l195795 REG ER ~U05b~~~~M~.FpHIL1P C LOBATON MO.CHERRY F3995 '. c h .~ Anesthesia Preoperative Evaluation Name: Ar/ Planned SurgerY: Preop Diagnosis: Age: lJ HT: Allergies: /1/ t<:-cJ 1, Medications 2. ~~ ,c, Surgeon: ~-..,v-~-c;'--"'l.-- ~{ Akrl::.-.. (1J f..,c,Uc'--- <, ' t WTi. fLit.- BP '~"II"t,} :Jlhr -/"1 I~j"r Surg. Date: J I tyt"J"Ot Room: Pulse: /1.1 R: SP02: no ~ Cardiac: JV-q~ i-f-x. / . Pulmonary: l'J iI-x, It", ~.~~.1 fr\.vA- v~ ~ .~ J;.JA (;4 Renal: GI/Hepatic: Neuro: Metabolic/Endocrine: Dentition: t!l'L Familial Anesthesia Problems: Surgical 1 Anesth History -r+-IJ- Yes 10 o~ rfto~4 IL4t~_ LMP: ~~- Other Medical Problems: Date Anesth Type Complications Labs: HGB: ' HCT: > <.( Lyles: Other Labs: EKG: Chest X-Ray: Remarks: Signed: C rbl - Interviewed: ~o Preoperative Evaluation: Physical Assessment: /1' Airway: .'\r. f t ( Cardiac/t.L-j Respiratory: ASA Statu~~ 1 ~ 3 S9ned: C. f, . t. o'i1k-iv.f . .\..<. i:v ~.;t-~ NPO Status: :Y /J1'f\. Proposed Anesth: ~ 0 If IT Postoperative Evaluation: " Vital Signs: j ~_, \', I;) <~ \ -S I." 11 :> Cardiorespiratory Status: /' L '''1/. Neurological Status: II \'..'S . ,~. C. U j ... i l ..} ~neSthetic Comp'icationr hi ~,' j... i ~ f~I\-' i '-. L) ~ l j t f " I.f ,j, ,; - ,f / Date: II Ii lime: 'Do I J <.if i(",,' j) i-\ k t,J t 'ok' r d\ I~C 1~:L'14 M000170563 05/10/04 ,.; j'\Lnl-:;)Cj(;'(I) LEE, INGRID VOOOOl195795 REG ER 02/03/1998 6/F IV~A!1)liG&~ w.~e~iLIP c t) V.I i t ~ L 1.( { <::. I j _ ,~ '. ", RUN DATE, 05/13/04 RUN TIME, 1402 '--' LABORATORY CITY HOSPITAL, INC. PAGE 1 ***SUMMARY DISCHARGE REPORT*** MARTINSBURG,WV Patient: LEE, INGRID Age/Sex: 6/F Attend Dr: KNUTSON DO,THOMAS E f:J1 Acct#: VQQOO1195795 Unitt: MOOO170563 DOB: 02/03i1998 Location: 4P 424 ~A Reg: 05/11/04 Disch: 05/12/04 Status: DIS INo ***** CHEMISTRY ***** Date MAY 10 Time 2115 Refe:cence Units GLUCOSE 1.95 H (70,:110) mg/dL BLOOD UREA NITROGEN 16 (6-22) mg/dL CREATININE 0.5 (0.5,1.. 3) mg/dL SODIUM 138 (13 6,14 5) mEq/L POTASSIUM 3.2 L (3.5'5. ()) mEq/L CHLORIDE 1.1.2 H (101..111) mEq/L CARBON DIOXIDE 23 (22 -32) lnEq/L CALCIUM 9.2 (8,5.-10,5) mg/dL TOTAL PROTEIN 6.5 (6.0.-8.0) g/dL ALBUMIN 3.6 (3.2-'5.0) g/dL BILIRUBIN TOTAL 0.5 (0.0--1..3) mg/dL AST 21 (Q-4S) U/L ALT 19 (O-5~5) U/L ALK PHOSPHATASE 284 H (35,:l20) U/L Patient: LEE, INGRID Age/Sex: 6/F Acct#VOOOO1195795 Un:l.t#MOOO170563 R RUN DATE, 05/13/04 RUN TI..-~E: 1402 LABORATORY CITY HOSPITAL, INC, PAGE 2 ***SUMMARY DISCHARGE REPORT*** MARTINSBURG,WV Patient: LEE, INGRID IIVOOOOll95795 (Continued) ***** HEMATOLOGY ***** Date MAY 10 Time 2115 Reference Units WBC 6.7 (5,5-14,5) K/uL RBC 4.45 (3.80,5,30) M/uL HEMOGLOBIN 11. 6 (10.2-15.0) g/dL HEMATOCRIT 34,8 (31.7'41.3) % MCV 78,0 (71. 0-87.0) fL MCH 26,1 (24,0,30,0) pg MCHC 33.5 (32.5.35.7) g/dL RDW 12.8 (11.2-14.6) % PLATELET COUNT 319 (150-450) K/uL MPV 6.8 L (7.4-10.2) fL NEUTROPHIL % 54.6 (36.0-66.0) % LYMPHOCYTE % 35.6 (28.0-56.0) % MONOCYTE % 7.1 (3.0-9,0) % EOSINOPHIL % 2,3 (0.0-5,5) % BJ>.SOPHIL % 0.4 (0.1-0.8) % NEUTROPHIL # 3,7 (1,5-8.0) K/uL LYMPHOCYTE II 2.4 (1,5-7.0) K/uL MONOCYTE II 0.5 (0.0-0.8) K/uL EOSINOPHIL # 0.2 (0.0-0.7) K/uL BASOPHIL 1/ 0.0 (0.0-0.2) K/uL Patient: LEE,INGRID Age/Sex: 6/F Acct#VOOOOl195795 UnitllMOOO170563 DATE .. /'1 1! h'1.0'i DIAGNOSIS: PAE.MEO: PRE-OP ANTIBIOTICS TIME OF ANESTHESIA STAAT 0/0;J TIME OF SURGERY o t]C Start: OPERATION ;;i)}l:;;~;:;jj'tIR~':;;",;; O,LPM fWJ~'!;r JSOIOES/~ :~'i~h'~r~4Wtg ^ ANESTHESIA SERVICE DOCUMENT I; (L~i '7 ,-..<- ~......,,:~--- LUOM I VI~ J'IU, L.nLf\1\ r M000170563 05/10/04 1'7 it: / ) 1./ LEE,INGRID VOOOOl195795 REG ER 02/0311998 6/F VAN DONGEN MO.PHILIP C I nO^Tml f.An rUCODV TIME STOP (,L<;l I jJ-' {I:z" ) ~~lS' (SIZE; S,TE) / /' , ^'~' WT (kg) ,_ ASA Stop:."I _J /<:. t/:I..7!L ('C!/J, 1.4" (... l{ SW~"':1o '] 7, i'2U..3 4 5 llf'":;..../ ('(/r.1~.A l:;<;~_-A..~, T<v... J~.dd.;~ 7i7?~,... '-::':/. SURGEON/ASSISTA !l/<,""j :,,' ( I \" If ! ANESTHESIAPROVIDE;S{Sj(" a<:.;; de ' '::i/\,:<; :~~;k~ <iot~~' .. , .. ~ 1, i,,' , ~ ," 7.... 7 l.. / <(,df~tr?l'Wfi~ ~t!J! ~~tlj~k>\'j&r 0.. NP~ a 0" 0 MASK a l.MAlI 0oer.,l9 ~ NEn ~ J ~...05TYlET 0 totAGlU.S 6"'"0''''' ., .. ONe " ,,,, .,', '''';rjJ1ft:t~;*:lV~'1t {%M~;>> :;:~,;%ij';k '.I, .., +0'hTIf~ 1. ,~~,*."". -t-.- ~ ~W" -~ ~, :;r~ ~" ~~g "'.<wi "~ :{i':W~~\;' ;::f:t;Y:<nv'1iY,:t%'\4~t,:f E"- I",,' ','. RESP. VENTILATOR VT>1'IRIINSP.PRESS EKG F,O. S.O, "... POSITION €Tca, feAgem REGIONAL )0- AGENTS NEElXE POSITION {",,*~n\1,r f:fi,l~0~! )jK~W;i',;%i;'~4f I. ;tk0it~#0~0ti ';,j\"i"M&'&l ~, I .t.: f..,. o OI~ ,((' lHTHuNcHAHGeo A'/.~Jr.../ttJ~ -' I {~ ,,~tATTEN.PTS JH SOUNDS r.:t CUFF Q"ROVllNE a fIAPlO ..OAWAKE ,rs'fOJI+~ I ~ 9'€Ye CARE_~~E~ ~ I. I!Df K(" (",'( L e ~ I I '!Eh"i'~~'; ,.t{':j\~TI~tt{?:~! #:g, .~ I I '2. :'D&-1;)1%:f:f~\:,\;\1flf{!f ~Yib'ii:@ri ~)j~ ;7,!117%ttj~;:t:;i&~L.~ I J;., I I I I I 91'lisE oxtMETEfl ""',"""" AP' ~~ ..~=.!i':' "w;;:.r,tl :.wAB:~~~1i' ;tl~~~,!;~! 'i, ,,1;:~:: M~~ " T :t~'i/,:;ri"\ ',W;,->' "*".."" S'ii ~~WI;';;J't+l\iJ$H) 2~\~.wt+ I G--_ ((0 EKG ...J<t'1S:.ANALVZER il1~,~il:,(.,eo,-fi;;"'" """""" /8f' CUFF 0 ART BP a rSPlROMETER .6~ ~ ~~i::'H*}f '~7)'&'ft,'11!{ii';?:rffi': T I ,r'~~r$!L "" ~~ STETHOSCOPE )0- ~COROtAl a ESOPHAGEAL TEMPERATURE ~ svsKrN OESOPHAGEAL a CVP a FOlEY C AVTOTRANSFUSIOfl 1M ,.n ,~ ,,,,. ,~ M '" ,n ", A n C . ,,,t.- '" o flUIO WARMER a PNS Q HlAEhfJN.IOIAER o 8LOOO W~ER a WARMING BlANKET Q FHM o NR8 .5 GAS UACHlNE COOE Q MACHINEotAONlTOR CHECK ..c(" Pi. 10. Q CHART REVIEWED :l- T v- h ~. REASSESSMENT UNCHANGED INlTlAlSGr V &"..f""",t'W ,.6" Q't ~ __ (//..L,k~....4- - l~~ ~ "5,1;.,' VV k" '1....... ,~t1 .,' J..~ 'fe" , " 1'\'" ;.:<L- /_' co., it~ ,'" ifi,.} ,"'" ,~'-.-!., .~ ' 'I~ ~''i Qi, , )' ) , ~< -t.. <1.' lL~r'/ ( C (> J'<-~' ~~, ,.(~ h ~ f.. ct..:d.f.<L fJf,'; y', CL-w t""~>t l'-. tI ~ ~ r~~~.;.J ..zJc':ci-,~ji I rJ'--,--e, l',~ ";?D::o!;m,./Ir-=''- /""'....,,1..).. <'. J./"..c--.,;" . .;:;~~ f,'1~':_ ~ RECOVERY RClQt.l:' _ CondiIion 02,';1 / ; :::'/'''',) ,.... - ~. I'!'.,. '"i !J,;',-- ,,,~ ,"'I I"" '..J.);... "'-" /"""...... "1"' ...~.... v ,::'-:', v "" 1~ '\;.; v T_ j (J.-G( a SAB 0 EPIDURAL o AXIlLARY o BIER a OTHER B_P, p, CSF ""'. ,'PAAESTHESiA-" !APPROACH ~--..._... R. b (Jft. , " AlDRETE lEVEL we",- laTHER S.O. IPREP. rl . m ~ . ~ :' ~ co ~ . ~ 'u .~ 00 ~~ ~::1rl .~;;.~ uoo ~ j o " ~ ~ 00 ~ ~ rl ;;, o ~ o~ ~ oil iii ~ 8~fIl ~ :;; :s ~ i ~ ~ .... 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'"" u 4 ~i"i" ~u 19~~ ~~~ ~~~ ~~~ ~oo ~ o ;:, ~~ tr;;;- ~ ~ ~ "~ .~ ~8 "::1 ~;;, o ~ 0 ;;~::::2 ~ = ~ ~o z ~ ~ ~ :0: o ::1 :;, o ~ ~ ...........NO rlOO.......... ~ ~ ~ ~oz i" B; ~ ~ ;: o ::1 :;, o = "" ...... . 0:: .....o......o......ao VI .....cnrlN.....c;nO;Z ~ ~ ;> ~ '" ~ .. i.: C .. 0 r- 0 E en.. u.... Q,l.... ~ u........ >.... VI........ I'll Q,l ~ ~ fti B ~ ~ 05. c.~ ~ ~ .. ~.~ ~.;!;; :n ~ 'i6':;; ~ H u u-~ ~ 0 o ~ ...... VI . ~ . VI >,.,... .~C Q. . ... :n~t~ Goals: I ,~-t- 7\-10 t nu,Yl 6) I {I Chat /00/'7- 581+ u , Precaution/Safety "....-. Gait~ , Learning Goals: Exercise TransferslMobility Other Plan: Will see the patient ~(Uo+' olaA~/ for Y-ro./t'l-o Lt-'L l Vf! 'tvCWYW1\Y The patient has been advised of his/her Physical Therapy Diagnosis, Goals, Prognosis. The patient has given Verbal Consent for evaluation and treatment. \5: fl~ p-J- ~ Y N Physical Therapist Signature: The Patient is not appropriate for skilled physical therapy intervention at this time. Physical Therapist Signature: P A TlENT IDENTIFICATION INPATIENT PHYSICAL THERAPY TREATMENT PLAN .'~ WU ~. w___ , .. ....~.....,.'1 v . ',.,'." ',oJ' CITY HOSPITAL, INC MARTINSBURG, WV LEE,INGRID VOOOOl1957!l5 ADM IN 02/03/1998 6/F 424A KNUTSON DO, THOMAS E JR KNUTSON DO, THOMAS E JR MonOliOc:.I>.. 0':;/11/04 Revised 10118/00 CITY H(,)SP~'1' AL, INC. IL.iABILlTATION ~~RVICES PROGRl NOTES tS)L.R. 0<:> 02h. ~1c iv1fjf 2 (> 10 It IiJ tMJ-L'. T C. u~ 6bvc"c h ct{alf\ ,. '->V>C((t('ll~',. , ) CL LiL.. l. { C<.y-,}u.w 7.0f' ,I'flcd (O/L(>\ '~l/ I Sl{~ , - ,i"- '''h- .', ~ . L' (, <'tru LEE,I.NGRID VOOOOl195795 ADM IN 02/03/1998 6/F 424A ,,~..__C'n'" nO THOMAS E JR F3853 RUN DATE' o5i~4/04 RUN TIME; 1713 cy Hospital ABS *L~VE* Database ATTESTATION STATEMENT PAGE 1 NAME: LEE, INGRID ACCT# , FORM: VOOOO~195795 ADM DATE, 05/~~/04 ATTEND PHYS: KNUTSON DO, THOMAS E JR DIS DATE' 05/~2/o4 DIS DISP: 01 +HOME, SELF-CARE LOS: 1 PT~CLASS, ER/SDC/INO UN'IT#' SEX: AGE: DOB: FIN CLASS: AB S STATUS: MOOO~70563 F 6 02/03/:l998 MCD FINAL DIAGNOSES ADMIT PRINe 729.5 82~.01 E813 .6 310.2 850.0 FX FEMUR SHAFT,CLOSED MV-OTH VEH COLL-PED CYCL POSTCONCUSSION SYNDROME CONCUSSION W/O COMA C OPERATIONS DATE PROe CODE & NAME 05/~~/04 79,~5 CLOSED RED-INT FIX FEMUR SURGEON ANESTHESIOLOGIST KNUTSON DO,THOM MENON DO,SATISH CPT CODES 27507 TREATMENT OF THIGH FRACTURE DRG, STATUS $REIMB KIN-LOS STD-LOS GRP VERS 2~ GRP FC MCD ~3 HOUR OBSERVATION Dry Run F . City Hasp.. MartinBburg~ ~ ~ ;540J. (304):;: .::LOOO V00001195795 _ Patient Demographics ADM ]:Na Patient's Narne Admit/Service Date Time Maiden/Other Name Newborn Mother t Date of Birth Race VIP -o(e.. >1.n../bd Medi a1 Re;tr'd , LEE ~ :INGRID 05/11/04 0319 social Security Number Age Sex Religion Marital Status Patient 134-86-9199 02/03/1998 6 F AA s M000170563 _ Patient - _ Employer 2452 MARTINS LANDING C:IR NO EMPLOYER Occupa tiOD: MART:INSBURG~WV 25401 (304)267-9398 _ Next of Xin - _ Person to Notify - BUTLER~N:I:GERIE Relationship to pt PA BOTLER~N:J:GER:J:E Relationship to pt PA 2452 MARTXNS LAND:I:NG CrR 2452 MART:I:NS LANDING CrR MARTINSBURG,WV 25401 (304) 267-9398 MARTINSBURG,WV 25401 (304) 267-9398 _ Guarantor Alternate Address - _ Guarantor's Employer - Relationship to pt PA BUTLER,NIGERIE OUTLOOK POINT Social Security * 2452 MARTINS LANDING CIR 116-60-6910 UNKNOWN MARTINSBURG,WV 25401 (304)267-9398 MARTINSBORG,WV 25401 (304) 267-5800 _ Insurance Information - IPC 1 Insurance Company Subscriber Social Security Number DOB MCDWV MEDICAID WEST V:IRGINIA LEE~INGRID 134-86-9199 02/03/1998 FC-l POBOX 3766 Relationship to pt SP Me CHARLESTON wv 25337 (800)982-6334 poHcy It Authorization . Co/Org Name c%rg I 00101682620 MFAX RAN PAAS 5630394000 IPC 2 Insurance Company Subscriber social security Number DOB FC-2 cjjU~lil tOlr'fj' d ." ! ?-/, (( - .::J U' - gb2.l!!-5 RelatielDship to pt Policy . Authorization' Co/Org Name Co/Org # VOOOOJ..195795 _ Specific Visit Information Attending Physician Physician's Phone Adm By Adm Source Adm priority Adm Service oX" Op Loc KNUTSON DO, THOMAS E JR (304)263-5129 LECKMAN EMR ER OBV4P Admitting Physician OCcurence Date Time Room/Bed .0 KNUTSON DO, THOMAS E JR (304)263-5129 05 05/10/04 2045 424-A Da.te of Service 05/i51'/04 Arrived By AM Dir DiscI NONE NPP (date I Y 20031103 Confidential Communication Alt Phone/Address: &)/JSU L-- T 51" .5 6 ill Family Physician Reason For Visit/Chief Complaint LOBATON MD,CHERRY (304)262-2538 STRUCK BY CAR// PAIN CONTROL City HOspltal Martinsburg, WV 25401 LEE. INGRID V001195795 REG ER 02/03/1998 6/F VAN OONGEN MD.PHILIP C L08ATON MD,CHERRY M0170563 05110/04 _ CONSENT TO TREAT AND RELEASE OF INFO 1_ I have consented to an examination and necessary medical treatment. I have been made aware of the hospital's duty to me under federal law to provide. without regard to my ability to pay. an appropriate SCREENING EXAMINATION and STABILIZING TREATMENT of any medical emergency "including labor contractions 2. In the event that 1 am admi tted. I hereby vol untari ly present mysel f for admi 55; on to C; ty Hospi ta 1 and hereby consent to hosp; tal and/or Hospita 1 Based Nurs i n9 Faci 1 i ty servi ces and to such di agnost i c medical. surgical or x-ray treatment as performed by VAN DONGEN MO.PHILIP (physician) or by his consultants. assistants. or designees as are necessary ~n his judgement. 3. I am aware that the practice of medicine and surgery is not an exact science and I acknowledge that no guarantees have been made to me as to the results of treatment or examina<tion in the hospital. 4. I hereby authorize City Hospital to retain, photOgraph. preserve and use 'for scientific or teaching purposes. or dispose of at their own convenience. any specimens or tissues taken from my body duri ng treatment. 5. I further authorize City Hospital to release to my insurance company and/or other reimbursing agency whatever information is required in connection with this treatment or Hospital Based Nursing Facility service_ I understand this may include results of HIV testing and/or ment,:Il health and/or drug/alcohol abuse records. as applicable. 6. I understand that for the convenience of patients. a safe is maintained w'ithout charge. Therefore. I release City Hospital from any responsibility for the loss of damage of valuables, money and/or other personal possessions brought into the Hospital by me unless they are deposited in the safe for sa fekeepi ng_ 7. agree that if I leave the hospital and/or Hospital Based Nursing Facility without physician consent. do so at my own risk. 8. I understand that the treatment rendered is emergency treatment only and I am advised to contact my family physician or assigned physician for follow-up care if necessary, unless I am admitted to the hospital and/or Hospital Based Nursing Facility under the care of an attending physician. 9. I understand that City Hospital serves as an educational setting for a variety of health occupations students. Unl ess subsequently speci fi ed. I consent to such students' i nvo 1 vement in my care_ 10 The above consents and releases have been fully explained to me and I certify I understand the explanation. _ AUTHORIZATION. RELEASE AND AGREEMENT TO PAY FOR SERVICES - 11. 1 hereby assign and transfer unto City Hospital and Associates (Lab & Phys.. ANES.. Rad., Hospital Based Nursing Facility) (hereinafter collectively 'hospital') all hospital benefits now due and to become due to me from the insurance companies by virture of admission to said hospital on the below date and hereby direct the insurer(s) to pay such benefits directly to said hospital, in consideration of the professional care rendered to me unsured dependent. I authorize the said insurer(s) to deduct such payments from its obligations to me for hospital benefits under the above numbered policy(s). 12. I further authorize City Hospital to release to my insurance company and/or other reimbursing agency whatever information is required in connection with this hospitalization or Hospital Based Nursing Facility service. I understand this may include results of HIV testing and/or mental health and/or drug/alcohol abuse records as applicable. 13. I (as patient or responsible party) understand that I remain financially responSible to the hospital and I agree to pay hospital for any and all charges not met by the proceeds of this assignment, and for all charges Should said proceeds not be paid within a reasonable time after charges are filled with insurer(s), or should carrieres) or insurer(s) deny payment retroactively. If I am providing this authorization for services of the Hospital Based Nursing Facility, as the individual who has legal access to the patient's income or funds. my financial liability is limited to the income or funds of the patient 14. I certify that the information given by me in applying for payment under Title XVIII or Title XIX of the Securi ty Act is correct. I request. that. payment of author i zed benefi ts be made in my behal f. 15. The above authorizations. releases and agreements have been fully explained to me and I understand the explanation. 16. Is the patient covered under any other health insurance plan. program, or policy? Yes No \lnnnn1,QI:\7Qt; Pilaf> 1 of? 17. / /18, City Hospital Martinsburg. WV 25401 LEE. INGRID VOOl195795 ,EG ER 02/03/1998 6/F VAN OONGEN MO.PHILIP C LOBATON MO,CHERRY M0170563 05/10/04 - NOTICE OF PRIVACY PRACTICES (HIPAAl - (con"t) Was Notice of~Privacy /,J'//'" _<,1 do -===- I do not Hasp; ta 1 . spat i ent patient directory. able to contact me. Practice offered and signature obtained below? Yes/No Date: 20031103 y want my name. location. and general condition released as part of City directory. I understand that if thi s information is not a part of City Hospital's visitors such as family and friends. outside phone callers. and florists will not be 1 do (any City L--;-dO not want my name released as part of City Hospital's rel igion patient directory el"'ergy who may inquire about me). I understand that if this informa'tion is not a part of Hospital's religion patient directory. members of the clergy will not be able to contact me_ 1 , 19. Has patient requested confidential communications (alternate address)? Yes/No ~;- /r: / '( -------/ (> DATE/TIME --;; ~:#-~-Z-L"-- SIGNATURE OF WITNESS SIGNATURE OF PATIENT /) ."JI <::: f I, , V )~ (IF PATIE IS A ~INOR. INCOM ETENT OR UNABLE TO SIGN. SIGNATURE bF NEAREST RELATIVE OR GUARDIAN) .1-" T\ \\.r\\A \"'__ RELATIONSHIP TO PATIENT SIGNATURE OF WITNESS VOOOO1l95795 Page 2 of 2 Center for Orthopedic 1004 Tavern Road Martinsburg, WV 25401 304-263-5129 or 304-263-5200 :cellence Ho~pital Discharge Instructions RETURN APPOINTMENT #2 RETURN APPOINTMENT #1 ~. /' .~, OMON o TUES OWED o THURS 0 FRI AM AT PM o MON b TUES OWED o THURS 0 FRI AM AT "'PM DATE WITH DR. FOR "/ DATE WITH DR. FOR / (,(,~ -", }'<' TELEPHONE 263-5129 OR 263,5200 IF UNABLE TO KEEP THIS APPOINTMENT KINDLY GIVE 24 HOURS NOTICE TELEPHONE 263,5129 OR 263-5200 IF UNABLE TO KEEP THIS APPOINTMENT KINOL Y GIVE 24 HOURS NOTICE _, .. ~:t' ',~,.~-'< " ,t, ~:r'.-, ""-< ,'. ,-;" ) .I__-l ,d' '.." '...,-L'",-"',,'~ 'J.'; -J /( .1.>::. '" "", '.'~ -. <"_ ..,.1 ,..\ ',-' __<,c RESUME YOUR PREOPERATIVE DIET UNLESS OTHERWlSEINSTRUCTED. CALL THE OFACE WITH ANY QUESTIONS OR CONCERNS. Medications: You should resume the medtcations prescribed by your family doctor or medk:al specialist. Be sure to report all allergies. The medication(s) below should be taken as directed. Please read the following instructions to be sure you understand them prior to discharge. A representative of this office is on call at all times and can be reached at this office or through City Hospital to assure your continuing care. Orthopedic care is a speciatty and does not replace the treatment from your family doctor. I have read and understand all of the above instructions. I have also had the opportunity to have any additional questions answered and/or clarified for me. 1 also understand these instructions are not all inclusive and it is my responsiblity to contact my doctor if I have any further problems or questions. Referring Doctor Patient Signature' Witness Date and Time .........................................__.............._................................... PRESCRIPTION BLANK - TEAR ALONG DOTTED LINE ......................-...............-..................:.............-.-....-....-..........-....-... Name #2 Center for Orthopedic Excellence Joseph P. Cincinnati, D.O. Troy D. Foster, D.G. Thomas E. Knutson, Jr., D.O. 1004 Tavern Road. Martinsburg, WV 25401 304-263-5129 or 304-263-5200 "1'". ".,........ ~ )0 t.A.."oL Street. City Date 'j~../~\ -t ~/~:;. ..,f 2 ; , ' ".i...;. .,.'-~'..,"--'...\..._ '-..."..". .- I '))\.... ""''-.1 ;\2 , q/l 1,) \...,1 ~ o LABEL ALL DRUGS UNLESS CHECKED OMAY SUBSTITUTE JOSEPH P. CINCINNATI 0.0. DEA' BC3731177 o DO NOT SUBSTITUTE 0 REFER PRESCRIBING TROY,.D, FOSTER-D.O.' DEA t, BF3ea7049 INFQAMATKJ'.I TO PHYSIClAN,TH,QMA$,E,t<NU1"~ON. ..R.. D.O. DEA' BK6022393. - .........................................._.._........ ...m................._____....__.._ pRESCRlPTJON ~~NK - TEAR ~LONG DOTTED lINE .__.._....._._..._........~_......_..............................................._..-......~:? #1 Center for Orthopedic Excellence Joseph P. Cincinnati, 0,0, TroyD. Foste" 0,0. Thomas E. Knutson, Jr" 0,0. 1004 Tavern Road. Martinsburg, WV 25401 304,263-5129 or 304-263-5200 Name Street ., City Date f' I . I I I o LABEL ALL DRUGS UNLESS CHECKED DMAY SUBSTITUTE o 00 NOT SUBSTITUTE OREFER PRESCRIBING INFORMATICl'l 10 PHVSICtAN WHiTE. - PA nENT copy JOSEPH P. CINCINNATI 0.0. DEA' BC3731177 TROY D. FOSTER D.O. DEA I SF3887049 THOMAS E. KNUTSON...R, DD. OEA I SK6022393 CANARY _ CHART COPY PINK - 0FF7CE copy 0,0. Dr. Knutson Ingrid Lee May 14, 2004: Spoke with mother who is concemed about pt not wanting to walk on her leg. She did get the walker but pt is not willing to walk on her leg. Wants to know if she should push the issue. Dr. Knutson states no just give it time. Attempted to call back and had to LM. T. Smoot, RN J~ .~ ... , h Ingrid Lee 023/03/1998 Dr. Knutson OS/27/2004: This is a 6'year-old female who is 2 weeks status post-Nancy nail fixation to a femur fracture. She is here for follow up. On physical exam, cast is a little loss both around her thigh and around her ankle. She is neurovascularly intact. We did do x-rays which show a healing femur fracture. On AP view, it is in good alignment. On lateral view, she does have approximately 5 degrees of flexion. There is early callus appreciated. The hardware is intact, We did remove her cast. Her skin is intact. Her incisions are well approximated. There is no erythema, no drainage. Impression: 2 weeks status post-Nancy nail fixation, L femur fracture. Plan: Again her cast is removed. I did stress with both her mom and her that she is not close to being active on this leg, I want her to start working on some gentle range of motion. I still want her to use a walker for 2 weeks. We will see her back in 2 weeks, repeat x-rays. If everything is looking good and she is doing well, will progress her to partial weightbearing at that time. TEK/bab DICTATED BUT NOT READ 'l' ]OO4TAVEr-NROAD MARTINSBURG, WV 2540] (304) 263-5]29 (304) 263-5200 (304) 263-3726 FAX Ingrid Lee Dr. Knutson June 17, 2004 History: This is a six-year-old female who is about a month out from Nancy nail fixation to a left,~.tm .EI III fracture. She is here for follow up. ~.-u Physical Exam: She has near full extension. With flexion she only goes to about 100 degrees. She has no tenderness at the fracture site, No tenderness with varus valgus stress. X-ray Findings: X-rays were taken which shows approximately 5 degrees of varus. She is also in approximately 10 degrees of flexion. She has abundant callous at the fracture site. Her hardware is intact. -f<--..:>n..1 impression: Status post Nancy nail left hw..ellll fracture. Plan: I did tell her that she can start weightbearing with the walker and then once she is not having any pain she can DC her walker at that point. I did tell her that she is not to run or jump on this leg. I also considered physical therapy but right now financially they can't afford it so I did go through some exercises with them. We will see them back in one month and repeat her x-rays at that point. TEK/kph DICTATED BUT NOT READ ,,---L-- I .'.il l.~~b~ INGRID LEE 02103/1998 Dr. Knutson 07/15/2004: This is a 6-year,old female who is two months out from internal fixation to the left femur fracture, She has been ambulating and actually states she has been jump roping without any pain. Still does walk with a mild limp. We were going to get her into physical therapy, however, because of some social reasons, she has been unable to do so, Physical Examination: She does have full extension, flexion at the knee to 125. She does tend to hold her hip out a little bit more to external rotation than internal rotation. However, when I get her to relax, I am able to get her to full internal rotation, We did get x-rays, which shows abundant callus at the fracture side, She does have mild amount of varus deformity at the fracture; however, it is only approximately 5 degrees as well as mild amount of flexion at the fracture site as well and this measured approximately 5 degrees as well. She is also approximately a half thumb breadth shorter on the left compared to the right. Impression: Healing left femur fracture. Plan: We are going to see her back in two months with repeat x-rays, I did tell her the benefit of getting the physical therapy, but however, right now they are unable to do so, Her grandmother is going to work with her on some exercises not only for improving her extension but also to improve her internal rotation and again we will see her back in two months with repeat x-rays of her femur. TKldlp/smp/qc3mlw DO: 07/15/2004 DT: 07/16/2004 Job #: 632528 DICTATED BUT NOT READ Electronically Signed and Finalized by Thomas E. Knutson Jr., DO 7/1612004 3:51:59 PM 1004 Tavern Road Martinsburg, WV 25401 (304) 263-5129 (304) 263,5200 (304) 263-3726 FAA INGRID LEE 02/03/1998 Dr. Knutson 09/16/2004: A 6-year-old female who is status post Nancy nail fixation for a left femur fracture, is here for followup, Has full range of motion, Denies any complaints, Physical Examination: Again, she has full range of motion, Her leg lengths are near symmetric, X-Ray Findings: X,rays were taken, which shows a healed left femur fracture in good alignment. Impression: Healed left femur fracture. Plan: I did tell mom recommendations at this point were for removal of her Nancy nails, All risks, benefits, complications, as well as postoperative care was discussed. Questions and concerns were answered to their satisfaction. They are in agreement with the above recommendations, I did tell them afterwards we are going to have to protect her weightbearing for a period of about 4 weeks, We will proceed with surgery at City Hospital. TKfdlp/shr DO: 09/16/2004 DT: 09/17/2004 Job #: 701200 DICTATED BUT NOT READ Electronically Signed and Finalized by Thomas E. Knutson Jr., DO 9/17/2004 I :48:48 PM 1004 Tavern Road Martinsburg, WV 25401 (304) 263-5129 (304) 263-5200 (304) 263-3726 FAX CITY HOSPITAL, INC. Martinsburg, WV. HISTORY AND PHYSICAL' PATIENT, LEE, INGRID ACCT#, V00001249116 AGE, 6Y ATTENDING, THOMAS E KNUTSON JR, DO MR#, M000170563 DATE OF ADMISSION, 10/13/2004 HISTORY, This is a 6'year,old female who was struck by a car back in May where she suffered a left femur fracture. Nancy nail fixation was performed. She has done well postoperatively, but is essentially four months out from surgery, and her femur is healed and recommendations are for hardware removal. PAST MEDICAL HISTORY, None. PAST SURGICAL HISTORY, Significant for that Nancy nail fixation to her left femur. MEDICATION, Zyrtec, ALLERGIES, None, REVIEW OF SYSTEMS, HEENT' within normal limits. Heart: No history of chest pain or palpitations. Lungs: Denies history of cough, hemoptysis and wheeze. Extremities: As per above. PHYSICAL EXAMINATION, Vital signs reveal blood pressure of 120/81, pulse 89, respirations 89, respirations 20, temperature 96.9. HEENT, Within normal limits. HEART, Regular rate and rhythm, LUNGS, Clear to auscultation. ABDOMEN, Soft and nontender. There are positive bowel sounds in upper quadrants, EXTREMITIES, Within normal limits. She essentially has full range of motion to her left knee. Her leg lengths are near s)'TTlmetric. X-rays of her left femur do show a healed femur fracture in good alignment with retained hardware. IMPRESSION, Retained hardware of left femur. PLAN: Discussed with mom and patient that recommendations are for hardware removal. All risks, benefits, complications as well as postoperative are were discussed, questions and concerns were answered to DF CITY HOSPITAL, INC. LEE, INGRID D Page 1 of 2 HISTORY AND PHYSICAL Dictating Physician's copy CITY HOSPITAL, INC. Martinsburg, WV. OPERATIVE NOTE PATIENT: LEE, INGRID ACCT#: V00001249116 PHYSICIAN: THOMAS E KNUTSON JR, DO MR#: M000170563 ROO~l#: ASU DATE OF OPERATION: 10/13/2004 PREOPERATIVE DIAGNOSES: Retained hardware left femur status post Nancy nail fixation for left femur fracture. POSTOPERATIVE DIAGNOSES: Retained hardware left femur status post Nancy nail fixation for left femur fracture. OPERATION: Removal of Nancy nails. SURGEON: Thomas E Knutson Jr, DO. FIRST ASSISTANT: David Wagner, Certified Surgical Assistant. ANESTHESIA: General. COMPLICATIONS: None. DISPOSITION: Patient tolerated the in stable condition. procedure well and was taken to the recovery room Sponge count correct. HISTORY/INDICATIONS: This is a 6-year-old female who suffered a left femur fracture about four to six months ago, she went on to heal and has been ambulating. Because pi retained hardware, recommendations were for removal. After the risks, benefits, complications, and alternatives were discussed, all questions and concerns were answered to their satisfaction. They are in agreement with the above recommendations. DESCRIPTION OF PROCEDURE: Patient was taken to the operative suite and after general anesthesia was administered, her left leg was sterilely prepped and draped in normal sterile fashion. We used our initial incisions and incisio~ was made with a #15 blade and dissected down bluntly first starting medially down to the vastus medialis palpating the nail. Once this was palpated, it was removed with a pair of pliers. A small stab incision was made just distal to the incision in order to remove the nail out atraurnatically, this was removed in toto. We then went to the lateral side and again, incision was made with a #15 blade dissecting down to the iliotibial band. This was split with cautery, the nail was palpated, and then DFemoved with a pair of pliers. The wounds were then copiously irrigated .. and no active bleeding is noted. The subcutaneous tissues are closed with 0 Vicryl and skin then closed with 3-0 nylon. A sterile dressing LEE, INGRID D MT REP #: 1013-0076 PAGE 1012 Dictating Physician's copy OPERATIVE NOTE CITY HOSPITAL, INC. MARTINSBURG, WV OPERATIVE NOTE LEE,INGRID 0 V00001249116 M000170563 was applied. The wound was infiltrated with a total of 10 cc of 0.5% Marcaine plain for postoperative pain control. Patient was successfully extubated and taken to the recovery room in stable condition. THOMAS E KNUTSON JR, DO JOB, 850154 ID, 000222489 cc, KNUTSON > TRANS: DD, 10/13/2004 DT, 10/13/2004 DO,THOMAS E JR (00261) TD, 0849 1530 cc: KNUTSON DO,THOMAS E JR LOBATON MD,CHERRY LEE, INGRID D MT REP #: 1013-0076 PAGE 2 of 2 Dictating Physician's copy OPERATIVE NOTE INGRID LEE 02/03/1998 Dr. Knutson 10/28/2004: This is a 6,year,old female who is 2 weeks out from removal of Nancy nails to her left femur. She was on some weightbearing restrictions. Mom states she has been pretty much full activity. Physical Examination: On physical exam, she has got full range of motion, Her incisions are healed. Impression: Status post Nancy nail removal. Plan: I discussed with her she really needs to take it easy for about 3 more weeks, I did give her some restrictions for PE for another 2 weeks, We will see her back at that time if needed. Otherwise, we will see her back on a p,r.n, basis, TK/dlp/sat DO 10/2812004 DT: 10/29/2004 Job #: 749911 DieT A TED BUT NOT READ Electronically Signed and Finalized by Thomas E. Knutson Jr., DO 10/29/20048:22:16 AM 1004 Tavern Road Martinsburg, WV 25401 (304) 263-5129 (304) 263-5200 (304) 263-3726 FAX - Center fOT Orthopedic ~?(ce{rence JOSEPH p, CINCINNATI, D,O,' TROyD. FOSTER, D.O. THOMAS E. KNUTSON,]R" 0.0, 1004 TAVERN ROAD MARTINSBURG, WV 25401 (304) 263-5129 . (304) 263,5200 (304) 263-3726 FAx SCHOOL EXCUSE Patient Name ;c:~~ G....... Date 'y-c. -yo--, ,/ The above patient was seen in my office this date. The above patient was under my care from school for this time period. . Please excuse Please allow to leave class 5-10 minutes early with a buddy to carry books. Please allow to use elevator. ACTIVITIES ./ The above patient m~i ~articiPate in gym/sports activities for the period of '> . ~ ~ The patient has been released to participate in sports activities effective r Joseph P. Cincinnati, D.O. Troy D. Foster, D,O, Thomas E, Knutson, Jr., D.O. w U ~ , Z N Ow ~ ci ~ <; ~ z~ 5!;J;~ :j\ OWa<\l'q" (/}!:,'C:?,o ~ ~ ~ ~ '."- ) 12 g ~~. u. . a: I-" ~ UJo~~~ ~~~~~-.J ::!; LL <...,. n g ffi :s: ~ 'J I-!z: ..;. il :;: << w o .g ~ QUI M d:j ....' - ~ c ~ ~ ZUl<~' OuO (5 (/J;sCI:?...., S UJ z $- .. 2: II. a:: . ~ ::::.::: if ~ ~ u- . ~~ 6 WO;;IIl~ ~~o~g ~LL~~~ oa: :::EN ~ ~ ~ U M ~ << w o ~ 0;,-... ffi w . , 0 :Z ~ Cd-- '-- 6 -'5 ') I ,'0 ~ w d !<' D 0 J w , ~ I i. o ,~ \j, Q g -.l D -3 ~ .~ , , <:Y .,J .J 1 2 , ::t- o \ fn :J ,S 0 '-i~~ ~ ~, tl. j "'-" ' o j'" c:S j(:2~ s d ~ ~ f -! ~ 'J~ ~d J; jI '-t< .; ~ ...J c~ l~d ~,~~ \=:-- -------- c " ~ ~ . . ~ J 1 ..:y ~ G J, :~ . A riJ ..3 \'-' ~ Cj1~ ,JoG ? ~, ::r:Je+ \' CJ "'\ -% ?-- <2./ ()~ '0 , J ) ~ "" e ')~ ~ ,e:) ~ -I. ~ ) c:! ~ c;O-+! ~ --! x" ol...J () ~ ~ Ij~ 1'l~ g:.~~, ~ ~ -6 UD2\iJ' ) "- -...1 () O!:- ',~ \;(= q \) f " w j " o~ " w 3 , O~ ci ci ~ " ;; "rr . -, H ro12 ~ ~ ~ ~ ~ li: -, g~ii: a: 0 1Il ~ o S ~ a; ~~~ .. ~~~ g~l5 ~~g ~g~ ~~~ ~~~ ~:Si t~~ '" ~ ~.: ~ ow UJ of ~~~ ili " . ~~ti ~i~ ,. w ~l:'l~ tg~ if z u w ~ ~ ~ ! 1 ~ ~ ;'! z ~ ~ . w , C ~ ~, \ i \ I \ ci ci '~ . ~~ ge2 8~~ ~;t i~~ og~ ."'" ~~~ ~~~ \,UI a: ....et;!: % ~-~~ n ~:i.!'l :Ii Z </let S. 0: fil ~ ~ ili a. ~!t~ :ll~b >~~ <"," ~-8 w . ~ ~ , C w " ; l 5 ;! .j-C-- f;(h;lo' REGYCLW@ '* AMENDED ** 04/16/2004 , f (/ Agency lnsunmce Company ~~' of lVim'yland, Inc. ). ---' P.O. BOX 17071' BALTIMOr,[, MD 21297-0388' (800) 492.5629 AUTOMOBILE POLICY DECLARATION POLlCY NUMBER: AU 0027198 INSURED ,Jasen Boyce 1109 Beecllwood Drive HClgcrstowlI, "1fJ 21'742 ;,~r 513 SS.c-~ AGENT (301) 733,1234 Wright-Gardner Ins. Inc 100 W Antietam Street Hagerstown, MD 21740 ISSUE DATE 08/30/2004 POLICY TERM 11/20/2003 ' 11!20/2004 Thispohcy,ncCl'lsthclali.:ro( A. 12:01 AM on Ih~ C.rsl dny oClhe pol;~y period; or Fl. (h~ hintl,,,!! ILI11C on lhc ~igncd ~ppli~ill ion on (he forst day or 1I1C policy period TI1isl'olicyshallcxI'il'cJI12cOl AMoL1thcl"'ldny()rlll~pOli(ypcriod. VEH YR I I 'N5 MAKE FOIUJ ~'iODEL I'IWfJE/SE VIN I ZVLT20A 7S5144589 GARAGE COMP COLL USE ZIP DED DED W 21742 None None Bodily Ill,lury - 50000/100000 each persoll/each aCCldc,ll( Property l)<lllHlgc - 25000 c,jeh accidel1t Economic Loss - Full ~ 2500 PREMIUMS VEH I 445.00 329,00 134.00 COVFI<..\C; ES/iJI1\IITS Unillsured ivlolmist 50000/1 iJO{)(JO....25000 each pcrsoli/Ci1cll accidclll ~ 1.00 TOT,~L VEHICLE PREMIUM 9~9.00 TOTAL POLlCY I'R[cMIU~J $989,00 Amended Premium $0.00 ,^,'JU0:"~ (~,'0l) INSURED COPY Page 1 of 2 H AMENDED ** 04/16/2004 , -( r> Agency Insurance Company 11!''''(i0 of Maryland, Inc. j. - P,O, BOX 17071 . BALTIMORE, MD 21297-0388' (800) 492-5629 AUTOMOBILE POLICY DECLARATION POLICY NUMBER: AU 0027198 ii, (:!'-::r-'~ l;Y'I,nl, :\1D ~ 17 <-17. AGENT Wright-Gardner }Or) (II] Antietam Hagerstown, tv'JD (301) 733-]234 Ins. Ine Street 21740 INSURED cJil son EO'/ce 11. C C) L:-;c;Cli-,.\TOC)d DrIve ISSUE DATe 08/30/2004 POLICY TERM 11/20/2003 ' 11/20/2004 rhh pollt} LlIC~l'h Ihc I~h" of ^. 12:01 ;\M on the flfS! <In). orlh~l'ohcY PCI;,"!. GI n tile binding lil11e C\1l111C sigll~(1 'Pl'li~JlioLl On lh~ r-"sl dny or (11~ policy period TI,;, poli9 shall L~P;"C at 12[)] AM 01\11,,; la>l,b)' of the policy pCl1od. DRV 1 DlnveR NAME L\SCll1 Boyce EXCLUDED NO DATE OF BIRTH 0811411980 MARITAL STATUS SINGLE SEX LICENSE NUMBER PTS M B200373189635 0 FOR~lS Ai'D E"IlOHSEMENTS DISCOUNTS AND SURCHARGES AgcI1C) ['hlll'"1lT C()Il1!1;II1Y of Ivlaryl,ll1d, Inc. will consider your claims bistory for purposes of determining whether to e'1llct'[ Ollcl'lISC 10 rcnew your policy. A.U-D03? (4!!'l7) INSURED COPY Page 2 of 2 ~[GYCLEO@ .' ,I. 0 fJ:.h1b,"" poru SCHEIL" ATTOIlNEYS AT LAW 1857 William Penn Way P.O, Box 10248 Lancaster, PA 17605,0248 717-291-4532 Main 717,291-1609 Fax www.postscheU.com Dana C. Panagopoulos dpanagopoulos@postschell.com 717-391-1167 Direct 717.291,1609 Fax File #: 968/12837 March 22, 2006 Nigerie Butler 1750 L. Wisteria Lane Chambersburg, P A 17201 RE: In re: Petition of Nigerie Butler, as parent and natural guardian of Ingrid Le Dear Ms, Butler: As you know, in order to complete the settlement of the above matter, I have been retained by Agency Insurance Company to draft the documents necessary for court approval of the settlement for the claims of Ingrid Lee. Please keep in mind that I am not your attorney and you will have to submit the Petition to Compromise Minor's Action which I have drafted to the Court and explain to the Court why you believe the settlement agreement is in Ingrid's best interest. Enclosed you will find the Petitions for Leave to Compromise Minor's Action with attachments and a verification. Please review the information contained in the Petition to ensure that it is completely accurate, Please also review the Release and Settlement Agreement that is attached as an exhibit to the Petition, If you are satisfied with the contents ofthe Petition and Release and Settlement Agreement, kindly sign and return them, along with the signed verification in the envelope I have provided. After receipt of these documents from you, I will forward them to the court and schedule a hearing, Upon receipt of the hearing date, I will notify you of the hearing, which your presence will be required, as well as Ingrid's presence, At the hearing, the judge will review these documents and ask any questions he may have, Please contact me if you have any questions or concerns, Thank you, Very trul y yours, Dana C. Panagopoulos ~ DCP:dcp Enclosure ALLENTOWN HARRISBURG LANCASTER PHILADELPHIA PITTSBURGH PRINCETON WASHINGTON, D,C. A PENNSYLVANIA PROFESSIONAl. CORPORATION tli I.;b,t 1;1''''':..,,, f RELEASE AND SETTLEMENT AGREEMENT KNOW ALL THESE MEN THAT, Nigerie Butler. as parent and natural guardian of Ingrid Lee, for and in consideration of Five Thousand Dollars ($5,000.00), the receipt and sufficiency of which are hereby acknowledged, do hereby remise, release and forever discharge, Jason Bovce and Agencv Insurance Companv of Marlvand, (hereinafter referred to as Releasees), their heirs, executors, administrators, insurers, employees, successors, and assigns of and from all, and all manner of actions and causes of action, suits, debts, dues, accounts, bonds, covenants, contracts, agreements, judgments, claims and demands whatsoever in law or equity presently existing or subsequently discovered by us, stemming from the mot.9fyehiclei,%\ccident .\.:'. "',o;t that occurred 0 ',>,;1/:$;; "y' !them, hereafter , agreeing to this compromise payment, neither admit liability but all expressly deny liability of any sort, and said Releasees have made no agreement or promise to do or omit to do any act or thing not herein set forth and we further understand that this Release is made as a compromise to avoid expense to terminate all controversy and/or claims for injuries or damages of whatsoever nature, known or unknown, including future developments thereof, in any way growing out of or connected with said incident or accident. We admit that no representation of fact or opinion has been made by the said Releasees or anyone on his, her, or their belief to induce this compromise with respect to the extent, nature or permanency of said injuries or as to the likelihood of future complications or recovery I. therefrom and that the sum paid is solely by way of compromise of a disputed claim, and that in determining said sum there has been taken into consideration the fact that serious or unexpected consequences might result from the present injuries, known or unknown, from said incident, accident or medical treatment, and it is therefore specifically agreed that this Release shall be a complete bar to all claims or suits for injuries or damages of whatsoever nature resulting or to result from said incident or accident. We represent and warrant that no other person or entity has, or has had, any interests in the claims, demands, obligations, or causes of action referred to in this General Release, except as otherwise set forth herein; that we have the sole right and exclusive :, 'ty to Te this t fl, assigned, i ration o~~ said pa . armless from any and all expenses and , ..."f":?? ,',~~' ar1.~i;~g from subrogation claims under any payments due or claimed to be due under the law, state or federal, regulation or contract. It is further understood and agreed and made part hereof, that neither we, nor our heirs, executors, administrators, successors or assigns nor my Attorneys or other representative, will in any way publicize in any news or communications media, including but not limited to newspapers, magazines, radio or television, the facts or terms and conditions of the settlement. All parties to this agreement expressly agree to decline comment on any aspect of this settlement to any member of the news media, This paragraph is intended to become part of the consideration for the settlement of this claim. 2 I. IN WITNESS WHEREOF, we have hereunto set my hand and seal this day of ,2006. SIGNED, SEALED AND DELIVERED in the presence of (SEAL) Nigerie Butler, as parent and natural guardian of Ingrid Lee, L RELEASE 3 po@ SCHEIL,,, ATTOI\N[;"iS AT L-I\.W 1857 William Penn Way P.O, Box 10248 Lancaster, PA 17605-0248 717,291-4532 Main 717-291,1609 Fax "WWW.postschell.com Dana C. Panagopoulos dpanagopoulos@postschell,com 717,391,1167 Direct 717-291,1609 Fax File # 968/12837 March 22, 2006 Nigerie Butler 1750 L. Wisteria Lane Chambersburg, P A 17201 RE: In re: Petition of Nigerie Butler, as parent and natural guardian of Inl!rid Le Dear Ms, Butler: As you know, in order to complete the settlement of the above matter, I have been retained by Agency Insurance Company to draft the documents necessary for court approval of the settlement for the claims of Ingrid Lee, Please keep in mind that I am not your attorney and you will have to submit the Petition to Compromise Minor's Action which I have drafted to the Court and explain to the Court why you believe the settlement agreement is in Ingrid's best interest. Enclosed you will find the Petitions for Leave to Compromise Minor's Action with attachments and a verification, Please review the information contained in the Petition to ensure that it is completely accurate, Please also review the Release and Settlement Agreement that is attached as an exhibit to the Petition, If you are satisfied with the contents of the Petition and Release and Settlement Agreement, kindly sign and return them, along with the signed verification in the envelope I have provided, After receipt of these documents from you, I will forward them to the court and schedule a hearing, Upon receipt of the hearing date, I will notify you of the hearing, which your presence will be required, as well as Ingrid's presence. At the hearing, the judge will review these documents and ask any questions he may have, Please contact me if you have any questions or concerns. Thank you. Very truly yours, Dana C. Panagopoulos DCP:dcp Enclosure ALLENTOWN HARRISBURG LANCASTER PHILADELPHIA PITTSBURGH PRINCETON WASHINGTON, D.C A PENNSYLVANIA PROFESSIONAL CORPORATION Nigerie Butler March 22, 2006 Page 2 bcc: Jim Martin Agency Insurance Company Claim # 21760 P "'Q N 1 vt G #- IJ( , " ........ 1-[ ~ :::::. C> ?...J 0') ~ ?2 'Y-----.. ., r ~---.. In re: Petition ofNigerie Butler, as parent and natural guardian of Ingrid Lee, a minor Plaintiff, COURT OF COMMON PLEAS CUMBERLAND COUNTY NO: 06-2372 PRAECIPE TO WITHDRAW PETITION FOR LEAVE TO COMPROMISE MINOR'S ACTION TO THE PROTHONOTARY: Please withdraw the Petition for Leave to Compromise Minor's Action in the above matter docketed at No. 06-2372, filed of record on or about April 25, 2006. POST & SCHELL, P.C. BY:~ C. r 0- ---...... D A C, PANAGOPOULOS, ESQUIRE Attorney J.D. No. 89491 DATE: ...i..1 S; I D LP g ';;;.S ~ g; ~ :S ~i ii\~: ~ Z^" ~~ 1 U;",,;' 0) ?t ~ %~ '}i' ~'" ,~.'t:. :S ~ . J>C C,P. "'" ~ 0 ~ ...J