Petition of Private Criminal Complaint in Lancaster County Court of Common Pleas Clerk of Court v....

Stanley J. Caterbone, Petitioner

IN THE COURT OF COMMON PLEAS OF LANCASTER COUNTY, PENNSYLVANIA

CRIMINAL DIVISION STANLEY J. CATERBONE : Docket No. __________

vs. :

KIETH SADLER, Chief, Lancaster City Police DepartmentLANCASTER CITY POLICE DEPARTMENTDETECTIVE CLARK BEARINGER, Lancaster City Police DepartmentOFFICER WILLIAMSOFFICER BINDERUP

ORDER

AND NOW, this __________ day of___________ , 2015, the Above named Defendants,

in part or in whole, shall be issued citations for violating 18 Pa. C.S.A. Â§ 2901

KIDNAPPING ; and Â§ 3503 CRIMINAL TRESPASS. The Issuing Authorities shall file the

appropriate citations for the Commonwealth of Pennsylvania.

AND NOW, this __________ day of___________ , 2015, Chief Keith Sadler and Stan J.

Caterbone shall enter into MEDIATION with a accredited local or state agency for violating 18 Pa.

C.S.A. Â§ 2901 KIDNAPPING ; and Â§ 3503 CRIMINAL TRESPASS.

AND NOW, this __________ day of___________ , 2015, I am ORDERING the

EMERGENCY PRELIMINARY INJUNCTION, Case No. 15-06985 in the Lancaster County Court of

Common Pleas, be hereby GRANTED AND the Matter before the Superior Court be hereby

WITHDRAWN, for violating 18 Pa. C.S.A. Â§ 2901 KIDNAPPING ; and Â§ 3503 CRIMINAL

TRESPASS.

BY THE COURT:

________________________J.

ATTEST:

___________________________Stanley J. Caterbone, Petitioner

1 of 9 Thursday, September 24, 2015

IN THE COURT OF COMMON PLEAS OF LANCASTER COUNTY, PENNSYLVANIA

CRIMINAL DIVISION STANLEY J. CATERBONE : Docket No. __________

vs. :

KIETH SADLER, Chief, Lancaster City Police DepartmentLANCASTER CITY POLICE DEPARTMENTDETECTIVE CLARK BEARINGER, Lancaster City Police DepartmentOFFICER WILLIAMSOFFICER BINDERUP

PETITION FOR REVIEW OF PRIVATE CRIMINAL COMPLAINT

TO THE HONORABLE, THE JUDGES OF THE SAID COURT:

Petitioner, Stanley Caterbone, hereby petitions the court for the review of the

decision issued by Chief County Detective Michael Landis, Office of the Attorney for the

Commonwealth issued on August 31, 2015, not to file criminal charges from the Private Criminal

Complaint attached hereto.

§ 2901. Kidnapping.(a) Offense defined.--Except as provided in subsection (a.1), a person is guilty of kidnapping if he

unlawfully removes another a substantial distance under the circumstances from the place where he is found,or if he unlawfully confines another for a substantial period in a place of isolation, with any of the following intentions:

(1) To hold for ransom or reward, or as a shield or hostage.(2) To facilitate commission of any felony or flight thereafter.(3) To inflict bodily injury on or to terrorize the victim or another.(4) To interfere with the performance by public officials of any governmental or political function.§ 3503. Criminal trespass.

(a) Buildings and occupied structures.--(1) A person commits an offense if, knowing that he is not licensed or privileged to do so, he: (i) enters, gains entry by subterfuge or surreptitiously remains in any building or occupied structure or

separately secured or occupied portion thereof; or (ii) breaks into any building or occupied structure or separately secured or occupied portion thereof. (2) An offense under paragraph (1)(i) is a felony of the third degree, and an offense under paragraph

(1)(ii) is a felony of the second degree. (3) As used in this subsection:

"Breaks into." To gain entry by force, breaking, intimidation, unauthorized opening of locks, or through anopening not designed for human access.

_____________________________ Date: September 23, 2015 Stanley J. Caterbone, Pro Se Litigant

1250 Fremont Street (717) 669-2163Lancaster, PA 17603 [email protected] www.amgglobalentertainmentgroup.com


BRIEF IN SUPPORT OF PRIVATE CRIMINAL COMPLAINT

JURISDICTION:

The proper procedure for seeking approval of private criminal complaints is set forth in

Pa.R.Crim.P. 133 as follows:

(a) When the affiant is not a law enforcement officer and the offense(s) charged include(s) a

misdemeanor or felony which does not involve a clear and present danger to any person or to the

community, the complaint shall be submitted to an attorney for the Commonwealth, who shall

approve or disapprove without unreasonable delay.

(b) If the attorney for the Commonwealth

(1) Approves the complaint, the attorney shall indicate this decision on the complaint form and

transmit it to the issuing authority;

(2) Disapproves the complaint, the attorney shall state the reasons on the complaint form and

return it to the affiant. Thereafter the affiant may file the complaint with a judge of a Court of

Common Pleas for approval or disapproval;

(3) Does not approve or disapprove within a reasonable period of time, the affiant may file the

complaint on a separate form with the issuing authority, noting thereon that a complaint is

pending before an attorney for the Commonwealth. The issuing authority shall determine whether

a reasonable period has elapsed, and when appropriate, shall defer action to allow the attorney

for the Commonwealth an additional period of time to respond.

In determining whether to approve or disapprove a private criminal complaint, the district

attorney may rely on either a legal assessment of the complaint, or wholly discretionary matters

of policy. Commonwealth v. Benz523 Pa. 203, 565 A.2d 764 (1989). When thedistrict attorney

rests the disapproval of a private criminal complaint on wholly discretionary matters of policy, this

Court will not disturb that determination, absent a gross abuse of discretion. Commonwealth v.

Pritchard,408 Pa. Super. 221, 596 A.2d 827 (1991). See also In Re Wood, 333 Pa. Super. 597,

602, 482 A.2d 1033, 1036 (1985) (quoting Commonwealth v. Eisemann, 276 Pa. Super. 543, 419

A.2d 591 (1980)) (prosecutorial discretion may depend on policy matters wholly apart from the

existence or non-existence of probable cause; courts are wary of supervising exercise of such

discretion). When the district attorney bases a dismissal solely on a lack of evidence,however, this

Court will apply a de novo standard of review because such a decision is not entitled to the same

deference afforded a policy decision not to prosecute, even where a prima facie case exists.

Commonwealth v. Benz, supra at 208 n.4,565 A.2d at 767 n.4. The special deference extended to

a policy decision not to prosecute arises from the deference accorded the discretionary use of

executive powers conferred in the district attorney. Id. The power to approve or disapprove

private criminal complaints granted under Pa.R.Crim.P. 133 to the district attorney is consistent

with the authority which that office regularly exercises in deciding to initiate or discontinue

prosecutions. In re Petition of Piscanio,235 Pa. Super. 490, 494, 344 A.2d 658, 660 (1975). The

requirements for the issuance of process pursuant to a criminal complaint are provided in


Pa.R.Crim.P. 134.

ARGUEMENT

“The proper procedure for seeking approval of private criminal complaints is set forth in

Pa.R.Crim.P. 133 as follows:

(a) When the affiant is not a law enforcement officer and the offense(s) charged include(s) a

misdemeanor or felony which does not involve a clear and present danger to any person or to the

community, the complaint shall be submitted to an attorney for the Commonwealth, who shall

approve or disapprove without unreasonable delay.

(b) If the attorney for the Commonwealth

(1) Approves the complaint, the attorney shall indicate this decision on the complaint form and

transmit it to the issuing authority;

(2) Disapproves the complaint, the attorney shall state the reasons on the complaint form

and return it to the affiant. Thereafter the affiant may file the complaint with a judge of a Court

of Common Pleas for approval or disapproval;”

The Petitioner's Private Criminal Complaint was dismissed by the following statement by

Michael L. Landis, Chief County Detective: “Pursuant to Rule 506 of the Pennsylvania Rules

of Criminal Procedure, the Private Criminal Complaint you submitted to our office

seeking to charge various police officers of the Lancaster Bureau of Police with criminal

offenses, has been reviewed by an Assistant District Attorney and has been

disapproved. The complaint is enclosed.”

The above clearly does not satisfy Pa.R.Crim.P. 134, and/or other statutes that

include the rules for Private Criminal Complaints.

The above named defendants did engage in the following:

A. An Act of Malice and Recklace Disregard for the false statements in the 303 Hearing by

both Dr. Silvia Gratz and Lt. Clark Bearinger.

B. Conspiracy and Collusion to Obstruct Due Process in the Lisa Michelle Lambert Case,

No. 5:14-cv-02559 in the U.S. District Court for Eastern Pennsylvania of which I am

named MOVANT, by not releasing medical records in a timely fashion. It has been

about 1 month and the staff continues to state that the invoice is on it's way.

C. Gross negligence in the manner in which psychiatric drugs were administered and the

misinformation with regards to dosage and strength.

D. Medical Malpractice in the lack of care when requesting help and treatment for illnesses

and ailments during the stay, with one incident when I begged to go to the emergency


room for not being able to breath.

E. Assault and Battery in providing an environment for chemicals to be used

against me, such as chloroform or something similar.

1. Petitioner was named the MOVAN in the Lisa Michelle Lambert Habeus Corpus Case of 2014

on June 25, 2015 in the U.S. District Court for Eastern Pennsylvania Case No. 14-02559.

2. Petitioner has been formerly and officially making complaints for computer hacking,

harassment, threats to person and property, etc., to the Lancaster City Police, the

Lancaster County District Attorney's Office, the Pennsylvania Attorney General's Office, and

the FBI in Harrisburg prior to July 9, 2015.

3. Petitioner has filed civil complaints against the Lancaster City Police Department in both

federal (06-4650, 05-2288) and state (08-13373) courts since 2005.

4. Petitioner had formerly and officially attempted to engage Chief Kieth Sadler of the

Lancaster City Police Department into Mediation through the Lancaster Human Rights

Commission at 225 West King Street, Lancaster, Pennsylvania and worked with intake

person Linda Struass prior to the year 2010.

5. Petitioner had introduced legislation to the Pennsylvania General Assembly through Michael

Sturla, House of Representatives, regarding organized stalking and electronic weapons in

2009 and again in 2015 prior to July 9, 2015.

6. Petitioner was a Federal Whistleblower in 1987 with regards to International Signal &

Control, or ISC.

7. Petitioner has been receiving Social Security Disability Benefits since 2008 for symptoms

and illnesses related to U.S. Sponsored Mind Control, and was declared disabled in

December of 2005 by the Social Security Administration. There was no medical or

psychiatric evaluations performed for the application and approval process, nor were there

any medical/psychiatric professionals listed in any documentation.

The Following Address the Federal Whistleblower and ISC Issues

8. ISC was indicted in 1991 for illegal arms transfers to Iraq and a $1 Billion Fraud.

9. Petitioner has been claiming and proving with a preponderance of evidence of a vast

criminal and civil conspiracy to cover-up his allegations and his public and official

disclosures.

10.The False Arrests and Prosecutorial Misconduct that Stan J. Caterbone was subject to in

1987 was an effort to cover-up the allegations made by Stan J. Caterbone in the Spring

and Summer of 1987 after the Meeting of June 23, 1987 with ISC and United Chem Con

Executive Larry Resch.

11.The ISC Fraud and Sales of Arms to Iraq Story by the ABC News Nightline with Ted Koppel

and the Financial Times of London in May, July, and September of 1991 was most likely


initiated by Lancaster Newspapers reporter Thomas Flannary.

12.Thomas Flannary's mysterious death in February of 2004 was either murder by poison or

was a cover story to hide the fact that he was a CIA operative used to control the flow of

information, disinformation, and propaganda. It is highly subject that he began his career

with Lancaster Newspapers in 1987 and is not a native Lancastrian.

13.The ISC merger was not completed until December of 1987, 3 months after the False

Arrests of Stan J. Caterbone.

14.The official meeting with the Pennsylvania Securities Commission Agent Howard Eisler in

September of 1987, which was solicited by Agent Eisler was an effort to illegally

interrogate Stan J. Caterbone without a legal subpoena.

15. In the months after the June 23, 1987 meeting with ISC Executive Larry Resch Stan J.

Caterbone had personally solicited a vast array of local, state, and federal officials,

including the FBI and Congressman Robert Walker, PA State Representative Gison

Armstrong for assistance in the retaliation and slander campaign that was in progress.

16.That there is credible linkage between the ISC Scandal, U.S. Sponsored Mind Control, Stan

J. Caterbone's family VICTIMIZATION, and LANCASTER COUNTY, PENNSYLVANIA.

17.The Zook Murder Appeal proves that Lancaster County Detective Michael Landis, Judge

James Cullen, and Judge Farina of the Lancaster County Court of Common Pleas were all

involved in U.S. Sponsored Mind Control before 2004 and before Stan J. Caterbone went

public with his VICTIMIZATION of U.S. Sponsored Mind Control.

18.Bobby Ray Inman, former director of the National Security Agency (NSA) was on the Board

of Directors of ISC and was involved in U.S. Sponsored Mind Control Technologies through

his company S.A.I.C. Corporation. Bobby Ray Inman would later be selected by Former

President Bill Clinton for his Director of Defense, but would later remove himself due to

allegations and public scrutiny for his role in the ISC scandal.

19. In the Fall of 1991 Robert Gates was nominated for Director of the Central Intelligence

Agency (CIA) and during his televised confirmation hearings the was subject to brutal

array of questions concerning his participation in the ISC scandal. He went on to be

nominated and later would serve both the Bush Administrations and the Obama

Administrations as Secretary of Defense until resigning in 2011.

20.The above finding of facts and evidence corroborates a vast conspiracy and criminal

enterprise that violates both civil and criminal RICO statutes and antitrust statutes.

21. The above would constitute treble damages for Stan J. Caterbone and Advanced Media Group in U.S. District

Courts, specifically in the Eastern District for Pennsylvania Case No. 05-2288, 06-4650, 14-02559; and

Case No. 08-13373 in the Lancaster County Court of Common Pleas.

22.Petitioner was taken into assaulted, arrested and taken into custody under the following

Pennsylvania Mental Health Laws and RegulationsPennsylvania Rules:

7301. Persons who may be subject to involuntary emergency examination and treatment


(a) Persons Subject. -- Whenever a person is severely mentally ill and in need of

immediate treatment, he may be made subject to involuntary emergency

examination and treatment. A person is severely mentally disabled when, as a result

of mental illness, his capacity to exercise self-control, judgment and discretion in

the conduct of his affairs and social relations or to care for his own personal needs is

so lessened that he poses a clear and present danger of harm to others or to

himself.

23.Detective Clark Bearinger did engage in a fraud with Lancaster County Crisis

Intervention or the County Administrator when he changed to a 7301.(b)

Determination of Clear and Present Danger in the Stanley J. Caterbone Petition

Statement.

24.Defendant's did approach Petitioner outside his residence on Fremont Street while

Petitioner was mowing his front lawn.

25.Petitioner did immediately go directly inside his residence and lock his doors in fear for his

safety and in fear of physical harm.

26.Petitioner did immediately go directly to his front bedroom on the second floor and tried

desperately to communicate with the Defendant's and talk them down and did warn the

Defendant's of his legal and civil rights.

27.Petitioner did also make declaratory statements that the assault was retaliatory for the

Petitioner's active role in the Lisa Michelle Lambert Case.

28.Petitioner did throw out his window to Defendants to read his “Press Release” for the

Organized Stalking Bill containing the docket to prove his being named as MOVANT by the

Courts in the Lisa Michelle Lambert Case.

29.Defendant's did illegally and recklessly break the Petitioner's door down, physically assault

the Petitioner and engage in an act of KIDNAPPING in removing Petitioner from his locked

residence.

30.Defendant's did further violate the Petitioner's civil rights by not allowing Petitioner to take

his files that were on his person at the time of the illegal assault with him to the hospitals.

31. Defendants did maliciously and with specific intent physically assault and torture the

Petitioner en route to the Lancaster General Hospital resulting in the Lancaster General

Hospital performing an x-ray and examination of the Petitioner's left should, right groin,

and back.

32.Petitioner was also subject to a brutal array of harassment and torture at the hands of the

Lancaster General Hospital and the attending physicians, duty nurse, and aids.


33. In Pederson v. South Williamsport Area School District, the courts interpreted due process,

as “Essentially fundamental fairness is exactly what due process means”. Furthermore, the

United States District Courts in Perry v. Coyler (1978, 524 F 2d. 644) have concluded the

following: “Even the probability of unfairness can result in a defendant being deprived of

his due process rights…”.

34.Hempfield Township v. Hapchuck 153 Pa. Commonwealth. 173620 A. 2d. 668 (1993) Pro

Se Brief failed to comply with Pa. Rules of Appellate Procedure, but the failure to comply

did not substantially impede the Courts ability to review the issues presented and therefore

considered the merits of the case.




CERTIFICATE OF SERVICE

Lancaster County District Attorney50 North Duke StreetLancaster, PA 17602

Service was executed on _______ day of September, 2015.





















CLOSED,HABEAS,A/R

United States District Court

Eastern District of Pennsylvania (Allentown)

CIVIL DOCKET FOR CASE #: 5:15-cv-03984-JCJ

CATERBONE v. LANCASTER BEHAVIORAL HEALTH/ CRISIS INTERVENTION et al

Assigned to: HONORABLE J. CURTIS JOYNER

related Case: 2:06-cv-05138-JCJ

Cause: 28:2241 Petition for Writ of Habeas Corpus (federal)

Date Filed: 07/17/2015

Date Terminated: 08/25/2015

Jury Demand: None

Nature of Suit: 530 Habeas Corpus: (General)

Jurisdiction: Federal Question

Petitioner

STANLEY J. CATERBONE represented by STANLEY J. CATERBONE

1250 FREMONT STREET

LANCASTER, PA 17603

717-669-2163

Email: [email protected]

PRO SE

V.

Respondent

LANCASTER BEHAVIORAL HEALTH/ CRISIS INTERVENTION

TERMINATED: 08/19/2015

Respondent

CRAIG STEDMAN


Respondent

LANCASTER COUNTY DISTRICT ATTY


Respondent

DET. LT. CLARK BEARIWGER


Respondent

LANCASTER CITY POLICE


Respondent

FAIRMONT BEHAVIOR SYSTEM


Respondent

SILVIA GRATZ

CHIEF MEDICAL OFFICER


Respondent

DISTRICT ATTORNEY OF THE COUNTY OF LANCASTER

Respondent

ATTORNEY GENERAL OF THE STATE OF PA

Date Filed # Docket Text

07/17/2015 1 PETITION for Writ of Habeas Corpus, filed by STANLEY J. CATERBONE (NO IFP, NO FEE PAID). (Attachments: # 1 Civil Cover Sheet)(jwl, ) (Additional attachment(s) added on 7/20/2015: # 2

Envelope) (jwl, ). Modified on 7/21/2015 (afm, ). (Entered: 07/20/2015)

07/24/2015 2 APPLICATION to proceed in District Court without prepaying fees or costs filed by STANLEY J. CATERBONE. Cert. of Service. (pr, ) (Entered: 07/24/2015)

07/31/2015 3 ORDER THAT THE CLERK OF COURT SHALL FURNISH PETITIONER WITH A BLANK COPY OF THE COURT'S CURRENT STANDARD FORM FOR FILING A PETITION PURSUANT

TO 28 USC, SECTION 2254 AND BEARING THE ABOVE-CAPTIONED CIVIL ACTION NUMBER; PETITIONER'S APPLICATION TO PROCEED IN FORMA PAUPERIS IS DENIED; AND

PETITIONER SHALL SUBMIT THE FIVE DOLLAR ($5.00) FILING FEE TO THE COURT WITHIN THIRTY (30) DAYS OF THE DATE OF THIS ORDER OR THIS ACTION WILL BE

DISMISSED WITHOUT FURTHER NOTICE TO PETITIONER.. SIGNED BY HONORABLE J. CURTIS JOYNER ON 7/28/15. 7/31/15 ENTERED AND COPIES MAILED TO PRO SE

PETITIONER WITH A BLANK COPY OF A 2254 PETITION FORM AND INSTRUCTIONS.(pr, ) (Entered: 07/31/2015)

08/10/2015 Copy of Order dated 7/28/15, blank 2254 petition form and envelope returned from the U.S. Postal Service addressed to STANLEY J. CATERBONE for the following reason: Return to sender, not

deliverable as addressed, unable to forward.(Re-sending to STANLEY J. CATERBONE, 1250 FREMONT ST., LANCASTER, PA 17603) (pr, ) (Entered: 08/10/2015)

08/17/2015 4 NOTICE/MOTION of Change of Address by STANLEY J. CATERBONE(ti, ) (Entered: 08/18/2015)

08/19/2015 5 Revised Habeas Petition Forms returned filed by STANLEY J. CATERBONE. (Attachments: # 1 Envelope)(pr, ) (Entered: 08/20/2015)

08/25/2015 6 ORDER THAT THE PETITION IS DISMISSED FOR FAILURE TO EXHAUST CLAIMS; THE CLERK OF COURT SHALL CLOSE THIS MATTER; AND THERE IS NO CAUSE TO ISSUE A

CERTIFICATE OF APPEALABILITY.. SIGNED BY HONORABLE J. CURTIS JOYNER ON 8/25/15. 8/25/15 ENTERED AND COPIES MAILED TO PRO SE PETITIONER.(pr, ) (Entered:

08/25/2015)

09/04/2015 7 ORDER THAT PETITIONER'S REQUEST FOR PERMISSION TO REGISTER AS AN ECF FILING USER IS GRANTED AND THE CLERK OF COURT IS DIRECTED TO PROCESS

PETITIONER'S REGISTRATION PURSUANT TO PROCEDURE 4(b) UNDER L.R.C.P. 5.1.2.. SIGNED BY HONORABLE J. CURTIS JOYNER ON 9/2/2015. 9/4/2015 ENTERED AND

COPIES MAILED TO PRO SE.(sg, ) (Entered: 09/04/2015)

PACER Service Center

Transaction Receipt

09/23/2015 05:32:52

PACER Login: am6446:3514696:0 Client Code:

Description: Docket Report Search Criteria: 5:15-cv-03984-JCJ

Billable Pages: 2 Cost: 0.20

United States District Court Eastern District of Pennsylvania https://ecf.paed.uscourts.gov/cgi-bin/DktRpt.pl?509947849302174-L_1_0-1

1 of 1 9/23/2015 5:33 AM









































































LANCASTER GENERAL HOSPITALHealth Information Management555 North Duke StreetLancaster PA 17604-3555ED Record

CATERBONE,STANLEY JMRN: 0542297DOB: 7/15/1958, Sex: MAdm: 7/10/2015, D/C: 7/11/2015

Patient Demographics

ED Arrival Information

Expected Arrival AcuityMeans ofArrival Escorted By Service

AdmissionType

- 7/10/201517:46

2=Emergent Police - EmergencyMedicine

Emergency

Arrival Complaintpsych eval

Chief ComplaintPsych Evaluation [160478]

DiagnosisAcute psychosis

ED EventsDate/Time Event User Comments07/10/15 1746 Patient arrived in ED RODRIGUEZ-SOTO,

MELISSA07/10/15 1747 RODRIGUEZ-SOTO,

MELISSA07/10/15 1747 RODRIGUEZ-SOTO,

MELISSA07/10/15 1747 Patient roomed in ED RODRIGUEZ-SOTO,

MELISSATo room 15BHE

07/10/15 1747 Assign Nurse HUEHNERGARTH,GRETCHEN A

Huehnergarth, Gretchen A, RN assigned asRegistered Nurse

07/10/15 1748 Assign Attending HUEHNERGARTH,GRETCHEN A

McIntyre, Daniel, MD assigned as Attending

07/10/15 1748 Assign Doctor/Pt. evalbegins

HUEHNERGARTH,GRETCHEN A

07/10/15 1749 Triage Started HUEHNERGARTH,GRETCHEN A

07/10/15 1749 XR Ordered MCINTYRE MD, DANIEL P XR SHOULDER RIGHT MIN 2 VW07/10/15 1749 Imaging Exam

OrderedMCINTYRE MD, DANIEL P

Printed on 7/28/2015 11:44 AM Page 1

CATERBONE,STANLEY ENGLISH

Emergency Contact 1Refused

Name Patient ID SSN

Address Phone EMail Employer1250 FREMONT STREETLANCASTER PA 17603-9543

717-826-5354 (H)717-669-2163 (M)

Sex Birth Date

County RaceLANCASTER White

Caterbone, Stanley J 0542297 xxx-xx-0959

Reg Status PCPVerified Sullivan, Brian P, MD717-291-5991

Male 07/15/58 (57 yrs)

Marital Status Religion Alias LanguageSingle -




ED EventsDate/Time Event User Comments07/10/15 1750 Vitals Assessment HUEHNERGARTH,

GRETCHEN A07/10/15 1801 Charting Complete MCINTYRE MD, DANIEL P07/10/15 1801 Transfer Disposition

SelectedMCINTYRE MD, DANIEL P ED Disposition set to Transfer

07/10/15 1801 Disposition Selected MCINTYRE MD, DANIEL P07/10/15 1824 Registration

CompletedGROFF, BARBARA A

07/10/15 1829 Xray Final Result INTERFACE, INCOMINGRAD RESULTS

(Final result) XR SHOULDER RIGHT MIN 2VW

07/10/15 1938 Lab Ordered HUEHNERGARTH,GRETCHEN A

CBC, POCT URINE PREGNANCY

07/10/15 1946 Admit DispositionSelected

ECHEVARRIA, MARIAN ER

ED Disposition set to Admit

07/10/15 1946 Disposition Selected ECHEVARRIA, MARIAN ER

07/10/15 1946 Transfer DispositionSelected

ECHEVARRIA, MARIAN ER

ED Disposition set to Transfer

07/10/15 1946 Disposition Selected ECHEVARRIA, MARIAN ER

07/10/15 2010 Lab Resulted INTERFACE, INCOMINGLAB RESULTS

(Final result) CBC

07/10/15 2034 Lab Resulted INTERFACE, INCOMINGLAB RESULTS

(Final result) BASIC METABOLIC PANEL(BMP)

07/10/15 2323 Assign Nurse YARNISH, THERESA M Yarnish, Theresa M, RN assigned asRegistered Nurse

07/10/15 2323 Remove Nurse YARNISH, THERESA M Huehnergarth, Gretchen A, RN removed asRegistered Nurse

07/10/15 2333 Triage Completed YARNISH, THERESA M07/11/15 0000 ED Census07/11/15 0040 Patient discharged YARNISH, THERESA M07/11/15 0040 Patient departed from

EDYARNISH, THERESA M

07/11/15 0114 YARNISH, THERESA M07/11/15 0114 YARNISH, THERESA M07/11/15 0114 YARNISH, THERESA M07/11/15 0114 YARNISH, THERESA M07/11/15 0119 Charting Complete YARNISH, THERESA M07/21/15 1520 Charting Complete HUEHNERGARTH,

GRETCHEN A07/10/15 1810 Imaging Exam Started MESKEY, ELIZABETH M XR SHOULDER RIGHT MIN 2 VW07/10/15 1812 Imaging Exam Ended MESKEY, ELIZABETH M XR SHOULDER RIGHT MIN 2 VW

ED Treatment TeamProvider Role From To Phone PagerMcIntyre, Daniel, MD Attending Provider 07/10/15 1748 07/11/15 0040 717-544-4978Huehnergarth,Gretchen A, RN

Registered Nurse 07/10/15 1747 07/10/15 2323

Yarnish, Theresa M,RN

Registered Nurse 07/10/15 2323 --

Printed on 7/28/2015 11:44 AM Page 291 of 114 Thursday, September 24, 2015



Discharge OrdersNone




ED Notes

ED Notes by Huehnergarth, Gretchen A, RN at 7/10/2015 5:49 PM Version 1 of 1Author: Huehnergarth, Gretchen A,RN

Service: (none) Author Type: Registered Nurse

Filed: 7/10/2015 5:50 PM Note Time: 7/10/2015 5:49 PM Status: SignedEditor: Huehnergarth, Gretchen A, RN (Registered Nurse)

Patient on 302 for psychosis and paranoia directed at a Lancaster Detective

Signed by Huehnergarth, Gretchen A, RN on 7/10/2015 5:50 PM

ED Provider Notes by McIntyre, Daniel, MD at 7/10/2015 5:58 PM Version 1 of 1Author: McIntyre, Daniel, MD Service: Emergency Medicine Author Type: PhysicianFiled: 7/10/2015 6:01 PM Note Time: 7/10/2015 5:58 PM Status: SignedEditor: McIntyre, Daniel, MD (Physician)

HISTORY:

Chief ComplaintPatient presents with•Psych Evaluation

HPI56-year-old male with a long psychiatric history presents to the emergency room in police custody on a 302petition. Apparently the patient has been contacting a detective and making threats of packing into policecomputers. The patient has been off of his medication for some time. The patient appears paranoid. He iscomplaining of right shoulder pain. He states that he was arrested while cutting his lawn today. He thinks thathis right arm was twisted in his shoulders been uncomfortable since. The patient denied any other injuries. Hedenies any homicidal or suicidal thoughts. No past medical history on file.

No past surgical history on file.

No family history on file.Not significantSocial HistorySubstance Use Topics•Smoking status: Current Every Day Smoker -- 1.00 packs/day

Types: Cigarettes•Smokeless tobacco: Not on file•Alcohol Use: Yes

Continues to smoke dailyProblem List

Diagnosis•Paranoid Schizophrenia




ED Notes (continued)

Review of SystemsI have reviewed and agree with the nursing notes as well as the social history.

Review of Systems both pertinent positive and negative findings of the review of systems, has beenthoroughly documented in the HPI (above in the chart) and all other systems are negative.

PHYSICAL EXAM:Vital SignsTemperaturePulse/Heart RateRespirationBP 132/74 mmHg (07/10/15 1750)MAP 93 MM HG (07/10/15 1750)SpO2O2 DeviceO2 Therapy Flow

Physical ExamConstitutional: He is oriented to person, place, and time. He appears well-developed and well-nourished. Nodistress.HENT:Head: Normocephalic and atraumatic.Eyes: Conjunctivae are normal. Pupils are equal, round, and reactive to light.Neck: Normal range of motion. Neck supple.Cardiovascular: Normal rate, regular rhythm and normal heart sounds.Pulmonary/Chest: Effort normal and breath sounds normal. No respiratory distress. He has no wheezes.Abdominal: Soft. There is no tenderness.Musculoskeletal: Normal range of motion. He exhibits no edema.Neurological: He is alert and oriented to person, place, and time. No cranial nerve deficit. He exhibits normalmuscle tone.Skin: Skin is warm and dry. He is not diaphoretic.Psychiatric: His mood appears anxious. His speech is rapid and/or pressured. Thought content is paranoid anddelusional. He expresses no homicidal and no suicidal ideation.

EKG RHYTHM:

EKG INTERPRETATION:

OXYGEN SATURATION INTERPRETATION:





LAB INTERPRETATION:

RADIOLOGY INTERPRETATION:

ED COURSE:Procedures

MDMPatient has been evaluated by myself and the mental health liason. Mental health liason has discussed thecase with the psychiatrist on call. We feel patient would benefit from inpatient psychiatric admission. Mentalhealth liason is arranging transfer to an inpatient bed.

The patients condition at the time of Disposition is Unchanged.

McIntyre, Daniel, MD07/10/15 1801

Signed by McIntyre, Daniel, MD on 7/10/2015 6:01 PM




Patient medical history and current status reviewed. Active medical problems: stable




Filed: 7/10/2015 10:05 PM Note Time: 7/10/2015 8:32 PM Status: AddendumEditor: Huehnergarth, Gretchen A, RN (Registered Nurse)Related Notes: Original Note by Huehnergarth, Gretchen A, RN (Registered Nurse) filed at 7/10/2015 8:52 PM

Arrival Status:Police on 302 petitioned by Lancaster Detective

Chief Complaint:Patient was sending paranoid and harrassing emails to local detective(enclosed copies in 302)Printed on 7/28/2015 11:44 AM Page 6





History of Present Illness:Patient denies he is suicidal or homicidal or psychotic. He denies he is paranoid and is invested inaseries of paranoid delusions regarding the government and FBIPatients petitioner is a local Detective who states that patient has sent him over 100 emails since midJune 2015, and to other police. He states the emails are more antagonistic One of them stating "Whyare you trying to kill me" the petitioner states that patients behavior is becoming alarming and that hefears patient will reach the paranoid state of 2010 when he stated cops should be beaten and killedTo this writers knowledge patient has never been violentPatient told this writer a lengthy statement of his making a legal petition in the case of MichelleLambert (convicted Lancaster murderer from 1990's), patient states he met with the attorney generalrecently about this case and that he also drove to the office of Mike Sturla in Harrisburg.Patient became very paranoid of nurse and said she had purposely given him a cold room, that shewas a liar. He stated he would sue the hospital "back to the courts" and demanded this writer writedown the number of the court case he had against LGH from the past.Patient believes the police and FBI are hacking his computerPatient lives with his brother and doesn't drink alcohol or use drugsHe denies he has been hospitalized since 2010 at Fairmount. He is requesting to return to Fairmount

General Appearance and Behavior:Appearance/Behavior: AgitatedEye Contact: GoodAppetite: no change from normalSleep: no change

Thought Processing and Cognitive Evaluation:Orientation: Time, Place, Person, Name and SituationAttention & Concentration: WNLMood: HostileAffect: AppropriateSpeech: Rate: normal Volume: normal Coherence: goodThought Process: Logical:noThought Association: Tangential

Abnormal Thought Content:Suicidal thoughts: noHomicidal thoughts: noHallucinations: noDelusions: yes





Insight: poorJudgment: poor

Substance Use:Alcohol use: no Type: Amount/Frequency: Last use: History of withdrawal symptoms:

Use of other substances: no Type/Route: Amount/Frequency: Last use: History of withdrawal symptoms:

History of Treatment for Substance Use: no

Past Psychiatric History and Current Treatment:Inpatient history: yesOutpatient services: no Psychiatrist: Therapist: Case Management: Other Services:Medication and treatment compliance: n/aHistory of Suicide Attempts: noFamily history of suicide: noActs of Self Harm: noActs of Violence: no

Social, Family and Developmental History:Current relationships/support system: brotherLiving situation: with brotherEducation:Employment: noLegal history and current charges, probation/parole: noCustody status/Child Service Involvement: noAbuse/Trauma: no





Functional Status:Independent for ambulation: yesIndependent in performing ADLs: yesSpecial equipment/environmental needs: noLanguage and Cultural Needs: no

Clinical Impression:psychosis

Plan for Disposition:Commitment Status: 302Physician recommendation: admit Psychiatrist is okay with patient request to transfer to Fairmount




Filed: 7/10/2015 8:52 PM Note Time: 7/10/2015 8:32 PM Status: SignedEditor: Huehnergarth, Gretchen A, RN (Registered Nurse)Related Notes: Addendum by Huehnergarth, Gretchen A, RN (Registered Nurse) filed at 7/10/2015 10:05 PM

Arrival Status:Police on 302 petitioned by Lancaster Detective

Chief Complaint:Patient was sending paranoid and harrassing emails to local detective(enclosed copies in 302)

History of Present Illness:Patient denies he is suicidal or homicidal or psychotic. He denies he is paranoid and is invested inaseries of paranoid delusions regarding the government and FBIPatients petitioner is a local Detective who states that patient has sent him over 100 emails since midJune 2015, and to other police. He states the emails are more antagonistic One of them stating "Whyare you trying to kill me" the petitioner states that patients behavior is becoming alarming and that hefears patient will reach the paranoid state of 201 when he stateded cops should be beaten and killedTo this writers knowledge patient has never been violentPatient told this writer a lengthy statement of his making a legal petition in the case of MichelleLambert (convicted Lancaster murderer from 1990's), patient states he met with the attorney generalrecently about this case and that he also drove to the office of Mike Sturla in Harrisburg.Patient became very paranoid of nurse and said she had purposely given him a cold room, that shewas a liar. He stated he would sue the hospital "back to the courts" and demanded this writer writedown the number of the court case he had against LGH from the past.





Patient believes the police and FBI are hacking his computerPatient lives with his brother and doesn't drink alcohol or use drugsHe denies he has been hospitalized since 2010 at Fairmount. He is requesting to return to Fairmount

General Appearance and Behavior:Appearance/Behavior: AgitatedEye Contact: GoodAppetite: no change from normalSleep: no change

Thought Processing and Cognitive Evaluation:Orientation: Time, Place, Person, Name and SituationAttention & Concentration: WNLMood: HostileAffect: AppropriateSpeech: Rate: normal Volume: normal Coherence: goodThought Process: Logical:noThought Association: Tangential

Abnormal Thought Content:Suicidal thoughts: noHomicidal thoughts: noHallucinations: noDelusions: yes

Insight: poorJudgment: poor

Substance Use:Alcohol use: no Type: Amount/Frequency: Last use: History of withdrawal symptoms:

Use of other substances: no Type/Route: Amount/Frequency: Last use:





History of withdrawal symptoms:

History of Treatment for Substance Use: no

Past Psychiatric History and Current Treatment:Inpatient history: yesOutpatient services: no Psychiatrist: Therapist: Case Management: Other Services:Medication and treatment compliance: n/aHistory of Suicide Attempts: noFamily history of suicide: noActs of Self Harm: noActs of Violence: no

Social, Family and Developmental History:Current relationships/support system: brotherLiving situation: with brotherEducation:Employment: noLegal history and current charges, probation/parole: noCustody status/Child Service Involvement: noAbuse/Trauma: no

Functional Status:Independent for ambulation: yesIndependent in performing ADLs: yesSpecial equipment/environmental needs: noLanguage and Cultural Needs: no

Clinical Impression:psychosis

Plan for Disposition:Commitment Status: 302Physician recommendation: admit Psychiatrist is okay with patient request to transfer to Fairmount


ED Notes by Huehnergarth, Gretchen A, RN at 7/10/2015 10:26 PM Version 1 of 1








Insurance

Insurance Company :humanaMH Managed by : lifesyncPhone Number :8665500027Staff talked with :heather HAuthorization # :noneDates Authorized :7/10-7/13 review 7/13Other Information :





Patient requested and was given copy of 302





Patient declined any anxiolytic or antipsychotic


ED Orders

Start Status Ordering Provider07/10/15

1939Final result MCINTYRE, DANIEL

07/10/151939

Final result MCINTYRE, DANIEL


Toxic Screen, Urine, No Confirmation ONE TIME

Alcohol, Serum ONE TIME




ED Orders



07/10/151939


07/10/151830

Last MAR action:Given - byHUEHNERGARTH,GRETCHEN A on07/10/15 at 1954

MCINTYRE, DANIEL

07/10/151750


Lab Results (07/10/15 - 07/10/15)

CBC (For Transfers Only) [110835910] (Abnormal)Resulted: 07/10/15 2010, Result Status: Final

resultOrdering provider: McIntyre, Daniel, MD 07/10/15 1938 Resulting Lab: LANCASTER GENERAL

LABORATORY

Basic Metabolic Panel (BMP) (For Transfers Only) [110835909](Abnormal)

Resulted: 07/10/15 2034, Result Status: Finalresult

Ordering provider: McIntyre, Daniel, MD 07/10/15 1938 Resulting Lab: LANCASTER GENERALLABORATORY


07/10/15 1948Comment: For Transfers Only.

XR SHOULDER RIGHT MIN 2 VW ONE TIME

Components

Value Ref Range Flag Comment LabWBC Count 11.4 4.8 - 10.8 K H - LG

LABRBC Count 5.12 4.60 - 6.20 M - LG

LABHgb 14.7 14.0 - 18.0 g/dL - LG

LABHct 42.5 42.0 - 52.0 % - LG

LABMCV 83.0 80.0 - 100.0 fL - LG

LABMCH 28.7 27.0 - 33.0 pg - LG

LABMCHC 34.6 32.0 - 36.0 % - LG

LABPlatelet Count 203 150 - 450 K - LG

LABRDW 14.4 12.2 - 14.6 % - LG

LAB

Basic Metabolic Panel (BMP) (For Transfers Only)ONE TIME

CBC (For Transfers Only) ONE TIME

ibuprofen (ADVIL,MOTRIN) tablet 600 mg ONCE

Comments: For Transfers Only.

Comments: For Transfers Only.

Specimen Collection

Specimen CollectionType Source Collected On

07/10/15 1948

Type Source Collected On




Lab Results (07/10/15 - 07/10/15) (continued)

Basic Metabolic Panel (BMP) (For Transfers Only) [110835909](Abnormal)

Resulted: 07/10/15 2034, Result Status: Finalresult

Alcohol, Serum [110835908]Resulted: 07/10/15 2037, Result Status: Final


LABORATORY


16 8 - 22 mg/dL - LGLAB

Sodium 137 135 - 145mmol/L

- LGLAB

Potassium 4.1 3.4 - 5.3 mmol/L - LGLAB

Chloride 105 98 - 107 mmol/L - LGLAB

CO2 Venous 28.0 21.0 - 31.0mmol/L

- LGLAB

Anion Gap 4 5 - 15 mmol/L L - LGLAB

Creatinine 0.8 0.7 - 1.2 mg/dL - LGLAB

BUN/CreatinineRatio

20 10 - 20 Ratio - LGLAB

OsmolalityCalculation(serum)

275 275 - 300mOsm/Kg

- LGLAB

Calcium 9.7 8.6 - 10.3 mg/dL - LGLAB

GFR >60 mL/min/1.73sqm

LGLAB

Comment: Notes for GFR:1. Multiply result by 1.21 if patient is black/African American.2. Chronic kidney disease: <60 mL/min/1.73 sq.m. Renal Failure: <15 mL/min/1.73 sq.m.

Comment: For Transfers Only.

Components

Value Ref Range Flag Comment Lab


07/10/15 1948

Glucose (serum) 95

Components

Value Ref Range Flag Comment LabAlcohol (serum) NONE DETECTED None Detected

mg/dLLGLAB

Comment: Intoxication Symptoms: 50-100 mg/dLComatose Level: 350-500 mg/dL

65 - 100 mg/dL - LGLAB

Blood UreaNitrogen





Alcohol, Serum [110835908]Resulted: 07/10/15 2037, Result Status: Final

result

Toxic Screen, Urine, No Confirmation [110835906]Resulted: 07/10/15 2301, Result Status: Final


LABORATORY


Collected On07/10/15 2149

Components

Value Ref Range Flag Comment LabUrineAmphetamineScreen

NONE DETECTED None Detected - LGLAB

Urine BarbiturateScreen


UrineBenzodiazepineScreen


Urine CocaineMetabolite Screen


Urine MarijuanaScreen


Urine OpiateScreen

See Below None Detected LGLAB

Comment: NONE DETECTED -Hydrocodone and Methadone are not routinelydetected by the LGH Urine Toxic Screen. These drugsmust be ordered specifically.

UR OxycodoneScreen


UrinePCP(Phencyclidine) Screen

NONE DETECTED None Detected LGLAB

Comment: Unconfirmed screening results MUST NOT be used fornon-medical purposes: (eg. employment testing, legal testing) CUT OFF CONCENTRATION FOR POSITIVE RESULTS: Amphetamines = 1000 ng/mL Barbiturates = 200 ng/mL Benzodiazepine = 200 ng/mL Cocaine = 300 ng/mL Opiates = 300 ng/mL Oxycodone = 100 ng/mL Phencyclidine = 25 ng/mL THC = 50 ng/mL

Concentrations above 400 mg/dL may be fatal.

Specimen CollectionType Source





Toxic Screen, Urine, No Confirmation [110835906]Resulted: 07/10/15 2301, Result Status: Final

result

Testing Performed ByLab - Abbreviation Name Director Address Valid Date Range6 - LG LAB LANCASTER

GENERALLABORATORY

Bruce King, M.D.,Director

555 N. Duke St.Lancaster PA 17602-2250

10/10/13 1035 - Present

Radiology Results (07/10/15 - 07/10/15)

XR SHOULDER RIGHT MIN 2 VW [110832753]Resulted: 07/10/15 1825, Result Status: Final

resultOrdering provider: McIntyre, Daniel, MD 07/10/15 1749 Resulted by: Smigocki, Gene C, MDPerformed: 07/10/15 1810 - 07/10/15 1810 Resulting Lab: LANCASTER GENERAL RADIOLOGYNarrative: Two-view right shoulder

History: Pain following injury

Comparison: None

Technique: Internal and external views were obtained

Findings:

No osseous abnormality is present. Minor degenerative changes are present in theacromioclavicular joint. Joint spaces and soft tissues are otherwise normal.

Impression:

No evidence of fracture

Dictating Workstation: HMINWKS2

Testing Performed ByLab - Abbreviation Name Director Address Valid Date Range7 - LG RADIOLOGY LANCASTER

GENERALRADIOLOGY

RobertLatshaw,MD

555 N. Duke St.Lancaster PA 17604-3555

08/08/12 1438 - Present

EKG ResultsNone

All Administrations of ibuprofen (ADVIL,MOTRIN) tablet 600 mg

User(s)ActionTime

RecordedTime

Dose/Rate Route Site Comment Action

Reason

Huehnergarth,Gretchen A, RN

07/10/151954

07/10/151955

600 mg Oral Given



07/10/15 1810




All Administrations of ibuprofen (ADVIL,MOTRIN) tablet 600 mg

ED Current OP MedicationsMedication Sig Dispense Start Date End Date Doc. ProviderNAPROXEN 500 MG ORAL TABS 1 TABLET

TWICE DAILYas needed forpain

60 9/23/2009 Sullivan, Brian P,MD

VICODIN ES 7.5-750 MG ORALTABS

1/2 to 1 tabletevery 6 hoursas needed forpain

30 tablet 5/10/2010 Sullivan, Brian P,MD

Medications not reviewed this encounter

Medication Comments** No Medication Comments Found **

Allergies (verified on: 05/25/10)Agent Severity CommentsNO KNOWN ALLERGIES

Follow-up InformationNone

Vitals from to

Date and Time BPPosition Pulse Resp Temp

Tempsrc SpO2

OxygenTherapyFlow(L/min)

Weight

Doppler/Fetoscope Rate

POCTCarboxyhemoglobin

Who

07/10/15 1750 132/74mmHg

-- 82 20 98 °F(36.7°C)

Oral -- -- -- -- -- GAH

Flowsheets (all recorded)


AmbulanceArrived

Yes -TMYARNIS

Transfer Charting - Sat July 11, 2015

Transfer Checklist - Sat July 11, 2015

0043Transfer ChecklistReport toTransfer Team

Yes -TMYARNIS

0043Transport Request




Flowsheets (all recorded)


MAR MINI-FLOWSHEET DATA - Fri July 10, 2015

Custom Formula Data - Fri July 10, 2015

1750OTHERMean ArterialPressure

93 MM HG -GAHUEHNE

1954 1817

Triage Plan - Fri July 10, 2015

2333Triage Acuity CalculatorIsRESUSCITATION required?

No -TMYARNIS

Is this anEMERGENT(High Risk,Altered LOC,Severe Pain)situation?

Yes (2) -TMYARNIS

Patient Acuity 2 -TMYARNIS

ED Destination Behavioral Health-TMYARNIS

Vital Signs - Fri July 10, 2015

1954 1817 1750Vital SignsBP 132/74 mmHg -

GAHUEHNE

Pulse 82 -GAHUEHNE

Resp 20 -GAHUEHNE

Temp 98 °F (36.7 °C) -GAHUEHNE

Temp src Oral -GAHUEHNE

PainAssessment

0-10 -GAHUEHNE

Number Scale*Pain Rating 4 -GAHUEHNE 7 -GAHUEHNE

*Pain Location shoulder -GAHUEHNE

PainDescription -Quality

aching -GAHUEHNE

*Factors thatAggravate Pain

activity -GAHUEHNE

*Factors thatRelieve Pain

repositioning -GAHUEHNE

Number Scale

Transfer Charting - Fri July 10, 2015

2216

*Pain Rating 4 -GAHUEHNE 7 -GAHUEHNE





ETA ofAmbulance

2330 -GAHUEHNE

AmbulanceArrived

Yes -GAHUEHNE

Transfer Mode Gurney -GAHUEHNE

Type ofTransfer

BLS/ALS/CCTAmbulance -GAHUEHNE

AccompaniedBy

EMS Personnel -GAHUEHNE

Transport Request

Transfer Checklist - Fri July 10, 2015

2216Transfer ChecklistReason forTransfer

Patient Request -GAHUEHNE

AcceptingHospital

fairmount -GAHUEHNE

AcceptingPhysician

bridget bautista -GAHUEHNE

SendingPhysician

mcintyre -GAHUEHNE

Report toTransfer Team

Yes -GAHUEHNE

Report toReceivingFacility

Yes -GAHUEHNE

Spoke with tyree -GAHUEHNE

TransferConsentSigned

Yes -GAHUEHNE

Copy ofRecords and DIObtained

Yes -GAHUEHNE

Faxed Recordsto ReceivingFacility

Yes -GAHUEHNE

DispatcherCalled

Yes -GAHUEHNE

Travel Screening - Fri July 10, 2015

1824Travel ScreeningHas the patienttraveled toAfrica OR hadcontact withsomeone whohas traveled toAfrica in thelast 21 days?

No -BG017

Name ofDispatcher

jaimie -GAHUEHNE




ED After Visit Summary

Diagnoses this visitYour diagnosis was ACUTE PSYCHOSIS.

You were seen byYou were seen by McIntyre, Daniel, MD.

ED PrescriptionsNone

Orders Completed During Your ED Visit



07/10/151939


07/10/151939


07/10/151939


07/10/151830

Last MAR action:Given

MCINTYRE, DANIEL

07/10/151750


Suture Information from toNone


Automaticrestart vitalstimer

YES -GAHUEHNE

Arrival Documentation - Fri July 10, 2015

User Key(r) = User Recd, (t) = User Taken, (c) = User

Cosigned

Toxic Screen, Urine, No Confirmation ONE TIME

User ID Name Effective DatesBG017

Alcohol, Serum ONE TIME

Groff, Barbara A -GAHUEHNE Huehnergarth, Gretchen A, RN 03/23/11 -

Basic Metabolic Panel (BMP) (For Transfers Only)ONE TIME

TMYARNIS Yarnish, Theresa M, RN 03/23/11 -

CBC (For Transfers Only) ONE TIME

1749

ibuprofen (ADVIL,MOTRIN) tablet 600 mg ONCE

Triage StartTriage Start

XR SHOULDER RIGHT MIN 2 VW ONE TIME

Start -GAHUEHNE

Prehospital TreatmentPrehospitalTreatment

No -GAHUEHNE

Vitals Reassessment - Fri July 10, 2015

1750Vitals Assessment




ED After Visit Summary (continued)

Information regarding the care you received at theLancaster General Hospital Emergency Department

You may receive a survey about your emergency department visit.Our goal is for our patients to receive very good care during their ED visit.Please take a moment to complete a survey if you receive one so we may continue to improve.

The examination and treatment you have received in the Emergency Department have been rendered on anemergency basis only, and are not intended to be a substitute for or an effort to provide complete medicalcare. Your primary care physician may request a copy of your records and all test results. It is important thatyou let him/her check you again, and that you report any new or remaining problems.

XRAYS/EKGSThe interpretation of EKG'S and/or x-rays at the time of the emergency visit may only be a preliminary report.You will be notified by telephone if there is a change in the interpretation when the tests are reviewed by thecardiologist and/or radiologist.

MEDICATIONS/PRESCRIPTIONSTake all medication as prescribed by the physician.

FAMILY PHYSICIAN If you are being referred to your own Primary Care Physician for follow up and do not have one, please callthe Physician Referral Line at 1-888-LGH-INFO (1-888-544-4636) and you will be assisted in locating aPrimary Care Physician.

REFERRAL TO SPECIALISTIf you are being referred to any doctor/specialist other than your own Primary Care Physician: Please contactyour doctor for a referral and any paperwork or referral forms that may be required. If you have anyquestions about whether you need such forms, contact your insurance company or doctor's office as soon aspossible.

The staff of the Lancaster General Hospital Emergency Department and Trauma Services strives to ensurequality care and customer service during your visit.Your Current Condition does not require hospitalization. Your condition can, however, change. If there areany concerns regarding your condition, you may return to the Emergency Department or contact yourPrimary Physician.

The Emergency Physicians of Lancaster Emergency Associates (LEA) are the exclusive providers ofEmergency Medical care at Lancaster General Hospital. We appreciate any comments or feedback you mayhave on your experience with us in the Emergency Department and invite you to visit us atwww.LancasterEmergencyAssociates.com

We constantly are looking for ways to improve your Emergency Department Experience.If you have any suggestions or concerns, please let us know.




ED After Visit Summary (continued)

You may call any of the following ED Management Team:Jolyne Barnett, RN ED Nurse Manager 717 544-5125Penne Marino, RN, Days Assistant Nurse Manager 717 544-4582Amy Sechrist, RN Evenings Assistant Nurse Manager 717 544-7055Lisa Williams, RN Nights Assistant Nurse Manager 717 544-1776

Lancaster General Hospital Convenience Pharmacy 717 544-5929Hours of Operation: Monday through Friday 7am- 6pmSaturday 9am- 3pmSunday Closed

Procedures and tests performed during your visitAlcohol, SerumBasic Metabolic Panel (BMP) (For Transfers Only)CBC (For Transfers Only)Toxic Screen, Urine, No ConfirmationXR SHOULDER RIGHT MIN 2 VW

Scanned Information

Encounter-Level Documents - 07/10/2015:

Scan on 7/11/2015 8:21 PM (below)




Scanned Information (continued)

Scan on 7/11/2015 5:38 PM (below)





Order-Level Documents:There are no order-level documents.

Code Documentation

No data selected in time range





Sedation Documentation

No data selected in time range


Date post:	04-Jan-2016
Category:	Documents
Upload:	stan-j-caterbone
View:	24 times
Download:	1 times