Orange County NC Website
Browse       Search
as <br />ORANGE COUNTY JAIL <br />SICK CALL REQUEST <br />CC <br />P- R- B/P- <br />Date: Time: -am/pm <br />Officer Namc __ <br />Medical OCfsitc Notifcd: yes _ no , Dale/'l'ime Noti6cd <br />Inmate Transported to Hospital: yes _ nu __ <br />Subjective: <br />Objective: T-, <br />Name: <br />DOB: <br />SS#: <br />_Wt- Allergies <br />Assessment: 1. ~. <br />2. C,, <br />3. T-_- 7. <br />4, R, <br />Plan: 1. <br />2. <br />3. <br />4. <br />S. <br />-medication ordered <br />_Rrc err p/u <br />_R"I'C prn <br />-sent to ER <br />-sent for Xray <br />~rctum to jail area <br />-jail medical supervision recommended <br />_reter to dental <br />-refer to psych <br />outside referral: <br />where: <br />ATTACHMENT #1 <br />Prnvirlrr Cirm ve nrr' rl....., '~'----- -- /-~- <br />