You are on page 1of 3

Document info

Result type:

Depart Summary

Result date:

May 15, 2015, 04:27 p.m.

Result status:

altered

Performed by:

Suzanne Manisack

Modified by:

Suzanne Manisack

Depart Summary
Patient:

HILBERT, MARK

DOB:

Aug 22, 1969

Adventist GlenOaks Hospital


Clinical Discharge Summary
PERSON INFORMATION
Name HILBERT, MARK
Age 45 Years
Sex Male
Language English
Marital Status Single
Phone (630) 790-2196
MRN 391369
Acct# 2314316
Visit Reason Psychiatric Evaluation
Acuity 2-Unstable
Address:
705 W LIBERTY DR WHEATON IL 601874842

DOB 8/22/1969 12:00 AM


PCP
Med Service Emergency Medicine
Arrival 5/14/2015 8:40 PM
LOS 000 19:46

PROVIDER INFORMATION
Provider
MAYOR MD, MPH,
DAVID L
Ringgold RN, Irene
Reetz RN, Melanie D
Bacani RN, Heather
Manisack RN,
Suzanne

Role

Assigned

ED Provider

5/14/2015 8:41 PM

ED Nurse
ED Nurse
ED Nurse

5/14/2015 8:44 PM
5/14/2015 9:45 PM
5/14/2015 11:26 PM

ED Nurse

5/15/2015 6:56 AM

VITALS INFORMATION
Vital Sign

Most Recent

Temp
02 Sat
Respiratory Rate
Blood Pressure

98.1 DegF
98 %
20 br/min
157 mmHg / 81 mmHg

Unassigned

5/14/2015 9:45 PM
5/15/2015 6:56 AM

ORDERS INFORMATION
Order

Type
Admit/Trans/DC Patient Care

Status

Stop Time

Ordered

05/15/2015 16:20

Consult Physician

Consult MD

Ordered

05/15/2015 00:53

Consult Physician

Consult MD

Ordered

05/15/2015 06:45

Admit to Venue Icon Discern Rule Order Ordered


Nutritional Services
Diet
Ordered
Diet

05/15/2015 08:19

Provider Order

Patient Care

Ordered

05/14/2015 20:42

Provider Order

Patient Care

Ordered

05/14/2015 20:42

Provider Order

Patient Care

Ordered

05/14/2015 20:42

Order

Type

Status

Stop Time

Acetamin

General Lab

Completed

Alcohol

General Lab

Completed

Auto Diff

General Lab

Completed

CBC/Diff

General Lab

Completed

CMP

General Lab

Completed

Dr Urine

General Lab

Completed

Renal Funct Index

General Lab

Completed

Salicylate

General Lab

Completed

Provider
MAYOR MD, MPH,
DAVID L
MAYOR MD, MPH,
DAVID L
MAYOR MD, MPH,
DAVID L
MAYOR MD, MPH,
DAVID L
MAYOR MD, MPH,
DAVID L
MAYOR MD, MPH,
DAVID L
MAYOR MD, MPH,
DAVID L
MAYOR MD, MPH,
DAVID L

Order

Type

Status

Stop Time

Provider

Discharge (CPOE)

MEDICAL INFORMATION
Allergy Info:
NKA

DISCHARGE INFORMATION
Discharge Disposition: Home - 01

05/15/2015 05:45

Provider
PANKAU MD,
WILLIAM J
MAYOR MD, MPH,
DAVID L
MAYOR MD, MPH,
DAVID L
SYSTEM
MAYOR MD, MPH,
DAVID L
MAYOR MD, MPH,
DAVID L
MAYOR MD, MPH,
DAVID L
MAYOR MD, MPH,
DAVID L

REASONS FOR ANY INCOMPLETE DEPART INFORMATION:

You might also like