EXHIBIT(S) - D (Motion #004) Mercy, March, Part 1 - Mercy, March, Part 1 Redacted April 10, 2019 (2024)

 
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 FILED: ERIE COUNTY CLERK 04/10/2019 05:54 PM INDEX NO. 807466/2014NYSCEF DOC. NO. 136 RECEIVED NYSCEF: 04/10/2019 Bensman v. Mercy H 5MW W MERCY HOSPITAL Admission 3/26/12 DVT Discharge 4/17/12FILED: ERIE COUNTY CLERK 04/10/2019 05:54 PM INDEX NO. 807466/2014NYSCEF DOC. NO. 136 RECEIVED NYSCEF: 04/10/2019 Nurse's Notes Mercy Hospital of Buffalo . Name: Joyce Bensman Emergency Department 52 years Sex: Female DO MRN: 00403824 I Date: 03/26/2012 Arrival Time: 14:03 Accounts: 665168472 1012DB Private MD: Meigar, Luis fregentation: 06/26 PresentEng complaint: Patient states: sent in by PMD for positive complete DVT to right lower dw 4‡21 extremity,recently discharged from Mercy with DX of bilateral lower ext. DVT's for which she was treated. sent home on Coumadin.. pt with Hx Scleroderma. onset of Symptoms; 2012. Acuity: 2 - Emergent. Method of arrival: In a wheelchair. Care prior to errivat: see note. Historical: Screening: Ajilergles: Denies latex allergy; No known drug 14:50 Abuse screen: km5 Allergies: . Denies threats or abuse. Denies injuries from ome Meda: another. 1. Klor-Con M20 Oral 20 mEq twice a day Exposure risk/Travel Screening: ). Omeprazole Oral 20 mg daily None identified. . Coumadin Oral 5 mg nightly Edentified at risk forfalls due to: Hydrocodone-Acetaminophen 5/S00 Oral no fall risk identitled. Lipitor Oral 40 rng nightly 6. Zaroxolyn Oral 5 mg daily Nifedipine Oral 60 mg daily . Morphine Oral 80 mg twice a day Prednisone Oral 10 mg daily ¼ PlyIHx: Rheumatoid Arthritis; Cancer, Skin; melanoma; Pidùionary Embolisrn; DVT; GERD: Reynaud's syndrome; {-fl-N; Hyperlipidemia; scleroderma a RSHx: Hysterectomy; Laparoscopic Abdominal SWilefY . Ativanced Dimctives: Patient has a health care y a Soclel history:: patient lives alone. communication: speaks fluent English.. • immunization history:: Last tetanus immunization: up to date. < 5 years ago Pneumococcal Vaccine None per patient. Influenza Vaccine last dose was October 2011. • Medication Information:: Home med information obtained frorn: patient.. • ISO precautione on last admission:: No.. Vital Signs: Time 8/P Pulse Resp Temp Puise Ox Weight Pain staff 14:15 115 / 62 LAO- (auto/reg) 82 16 98.3(0) __ sr3 14:51 99% on R/A km5 i15:13 93 / 51 87 16 98.6(0) 100% on R/A ss7 16:43 127 / 71 86 18 97.6 98% on 2L NC km5 Vitals: 14:29 dw Pain: Yes Cornplains of pam in right index fiñgar6aii, right leg and right foot Pain curreGuy is 9 out of 10 on a pain scale. OB/GYN: 14:29 LMP N/A - Hysterectomy dw Triage Assessment: 14:30 dw Print Time: .V2N2012 17-0D:43 Page1of 4FILED: ERIE COUNTY CLERK 04/10/2019 05:54 PM INDEX NO. 807466/2014NYSCEF DOC. NO. 136 RECEIVED NYSCEF: 04/10/2019 Nurse's Notes Con't Generah Appears In no apparem distrêss, cornierreble, Bahavior is appropriate for age, ceep=æUve. Respiratory: No deficits noted. Dermatologic: Skin necrotic right index finger tip... blue/dusky right foot and lower extremity to Inid thigh. Musculüskeletah Range of motion intact in all extremities. Reports pain in right foot and right leg Pain is 9 out of 10 on a pain scale, Assessment: 14:S0 km5 General: Appears uncomfortable, Behavior is cooperative. Respiratory: No deficits noted. Derm: Decubitus None. Neuro: Level of Consciousness is awake, alert. Oriented to person, place, time. EENT: No deficits noted. Cardiovascular: right foot blue in color. cold with pulses on doppler- not palpable. Rhythm is regular Chest pain is denied. GI: Denies nausea, pain, verniting. GU: No deficits noted. Musculoskeletal: Reports pain in right leg. lkrocedure: 14:50 Procedure performed, with assist by ED staff inérñber, No assistad procedures for this patient. Labs drawn. k n5 (by ED staff). Sent per order to lab. inserted saline lock: 20 gauge in right forearm and blood cc::écted. Dispensed Medications: Drug & Dose Route Rate Duration Site Staff| Delivery &t 4 Dil@did 1 mg IVP km5 16:47 Follow up: Response: Pain is unchanged, physician notified km5 Intensentions: 14:32 Patient placed in exam room on stretcher. Family accompâriied patient. dw 14:50 Patient has correct armband on for positive identification. Allergy band on. Placed in gown. Bed in low km5 position. Call light in reach. Side rails up X2. Swailow Screen: Swaiicwing Screen is not applicable to this patient at this time. Cardiac monitor on. Pulse ox on. NIBP on. Comfort measures: Verbal reassurance given. Warm blanket given. Pillow given. Observations: 13:43 Melgar,Luis, MD is Refening Provider. is2 14:03 Patient arrived in ED. kis 14:05 Harris,Kaight,RN is Prirnary Nuise. lei 14:21 Triage cornpleted. d39 14:21 Referring Provider role handed off by Melgar,Luis, MD. ow 14:21 Melgar,Luis, MD is Private Physician. dw 14:24 Santlane.Jacue. MD is Attending Physician. is2 16:24 Alvarez-Perez,Julio A, MD is Adrnitting Physician. is2 16:25 Santiano.Jesus, MD is Attending Physician. is2 Outcome: 16:25 Admit ordered by MD. is2 e Name: Joyce Bensman MRN: 00403824 Account#: 665)68472 Prim Time: 3t26/201117:00:43 Page2 of 4 FILED: ERIE COUNTY CLERK 04/10/2019 05:54 PM INDEX NO. 807466/2014 NYSCEF DOC. NO. 136 RECEIVED NYSCEF: 04/10/2019 Nurse's Notes Con't 17:00 AdmittM to :ñpatisñ‡ status cath lab for vena cava litter.Prescriptions given X None Admission iñicñT,aticñ 19 5 explained to patient. Additional hours of infusion: 16 - 30 minutes. nnnainn: stable. .. MEDICATION Order Status Time By . For Dilaudid 1 mg IVP once Ordered 03/26/12 15:11 je2 is2 Admhistered 03/26/12 15:14 km5 Notes: order Method: Electronic 03/26/12 15:14 Administration: Dilaudid 1 mg IVP km5 03/26/12 16:47 Follow Up: Response• Pain is üñchân physician notified km5 LAB Order Status Time By For CBC WITH DIFF Ordered 03/26/12 14:45 krn5 is2 Retumed 03/26/12 15:31 Dispatcher MedHost Notes: Order Method: Verbal - Read back Sign off: Santiano,Jesus, MD 03/26/12 15:11 . Order Status Time By f-or CMP Ordered 03/26/12 14:45 krn5 (s2 † Retumed 03/26/12 15·27 Dispatcher MedHbst Notes: Order Method: Verbal - Read back-- Sign off: Santiano,Jesus. MD 03/26/12 15:11 Order Status Time By For PT / IMR Ordered 03/26/12 14:45 krn5 js2 Retumed 03/26/12 15:18 Dispatcher MedHost . Notes: Order Method: Verbal - Read back Sign off: Santiano,Jesus, MD 03/26t12 15:11 Or lar Status Time By For PTT Ordered 03/26/12 14:45 km5 1s2 Retumed 03/26/12 15:16 Dispatcher MedHost Notes: Order Method: Verbal - Read back Sign off: Santiano.Jesus, MD 03/26/12 15:11 Order Status Time By For TYPE AND SCREEN BLOOD Ordered 03/28/12 14:45 km5 js2 Retumed 03/26t12 t6:16 Dispatcher MadHust Notes: Order Method: Verbat - Read back Sign off: Santiano,Jesus, MD 03/26/12 15:11 Order Signatures: Santiano,Jesus, MD MD is2 Harris,Kaight,RN RN km5 Signatures: Narner Joyce Bensman MRN:00403824 Accesñt#: 665168472 Print Time: 3/26/2012 17•00-43 Page3 or4FILED: ERIE COUNTY CLERK 04/10/2019 05:54 PM INDEX NO. 807466/2014NYSCEF DOC. NO. 136 RECEIVED NYSCEF: 04/10/2019 Nurse's Notes Con't Mcc-wst.:,nnona,RN RN dw Santiano,Jesus, Ê MD is2 Harris,Kaight,RN RN km5 Evoy,Lisa le1 Lane, Knsten k13 Sikorski,Stephanie ss7 Raybuck,Selah sr3 e o Name: Joyce Bensman MRN: 00403824 Accounte: 665168472 Time: 3S6/2012 I7:00:43 Page4 of 4FILED: ERIE COUNTY CLERK 04/10/2019 05:54 PM INDEX NO. 807466/2014NYSCEF DOC. NO. 136 RECEIVED NYSCEF: 04/10/2019 ‰fhysician Documentation Mercy Hospital of Buffalo % gá)e: Joyce Bensman Emergency Department 52 years Ser: Female DOB MRN: 00403824 I Date: 03/26/2012 Time: 14:03 Accounts: 665168472 1012DB Private MD: Melgar, Luis Óleposition Summary: Oil 6/12 16:25 Adinit ordered for Alvarez-Perez, Jullo A. Preliminary diagnosis is Deep Vein Thrombesis - bilateral . (DVT) lampr extremities, r/o arterial occlusion. e4$ed requested for BIC - ICU. ondition is Stable. Problem is new. Symptoms have Improved. p2 Pt seen by Dr Alvarez not me.. I : Denies latex allergy; No known drug Allergies; Nome Meds: Klor-Con M20 Oral 20 mEq twice a day Omeprazole Oral 20 rng daily Coumadin Oral 5 mg nightly Hydrocodone-Acetaminophen 5/500 Oral Lipilor Oral 40 mg nightly 6. Zaroxolyn Oral 5 rng daily 7 Nifedipine Oral 60 mg daily 8 Morphine Oral 80 mg twice a day .J. Prednisone Oral 10 rng daily e ..BNHx: Rheumetoid Arthritis; Cancer, Skiri: melanoma; Pü|mañâry Embolism; DVT; GERD; Reynaud's syndrome; HTN: H p9dipidemia; scleroderma MlHx: Hysterectomy; Laparoscopic Abdominal Surgery Ativanced Directives: Patient has a health care proxy., ocial history:: patient lives alone. communication: speaks fluent English.. e Inimunization history:: Last tetanus !mmun!ratinn: up to date. < 5 years ago Pneumococcal Vaccine None per ignt. Influen za Vaccine last dose was October 2011. Wiedication Information:: Home med le!ormation obtained from: patient • ISO precautions on last admission:: No.. OB/GYN: 14:29 LMP N/A - Hysterectomy dw MDIM: Time Order name Complete Staff Time 14:45 PTT km5 PT / INR km5 14:45 CBC WITH DIFF 14:45 CMP km5 14:45 TYPÈ AND SCREEN BLOOD km5 Vital Signs: Time B/P Pulse Resp Temp Pulse Ox Weight Pain Staff 14:15 115 / 62 LAO- (auto/reg) 82 16 98.3(0) sr3 Print Tirne: 3/26/2012 17:00:43 Page1 of 3FILED: ERIE COUNTY CLERK 04/10/2019 05:54 PM INDEX NO. 807466/2014NYSCEF DOC. NO. 136 RECEIVED NYSCEF: 04/10/2019 " -- Physician Documentation Con't. 14:51 99% on R/A km5 15:13 93 / 51 87 16 98.6(0) 100% on R/A s87 16:43 127 / 71 86 18 97.6 | 98% on 2L NC km5 Qispensed Medications; ime Drug & Dose Route Rate Duration Site Delivery Staff 15:14 Dilaudid 1 mg IVP km5 16:47 Follow up: Response: Pain is unchanged, physiciañ notified km5 Bignatures: Dispatcher MedHost EDMS AIrnorabi,Donna,RN RN dw Santiano,Jesus, MD MD 1s2 Harris,Kaight,RN RN krn5 Gregory,Joanna jg9 e Name: Joyce Bensman MRN: 00403824 Account#: 665168472 Print Time: 3/26/2012 17:0093 Page2 of 3FILED: ERIE COUNTY CLERK 04/10/2019 05:54 PM INDEX NO. 807466/2014NYSCEF DOC. NO. 136 RECEIVED NYSCEF: 04/10/2019 .,'. -„;..;::physician Docscmentation Con'k'. ~ 4'e',it>l Ogdsre: Time Order name Type Order by Ordered for 15-1 tTDileuhid Electronic js2 J$2 14:45 PTT Verbal - Read back / Sign Off: km5 js2 Santiano,Jesus, MD - 03/26 15:11 14:45 PT/ INR Verbal ~ Read back / Sign Qff: krn5 ]$2 antiano,Jesus, MD - 03/26 15:11 14:45 CBC WITH DlFF erbal - Read back/Sign Off: km5 I$2 Santiano,Jesus, hAD - 03/26 15:11 14'.45 CMP Verbal - Read back / Sign Off: krn5 I52 Santiano,Jesus, MD - 03/26 15:11 14:45 TYPE AND SCREEN BLOOD Verbal - Read back / Sign Qff: km5 ls2 Santlano,Jesus, MD - 03/2615:11 IIttsrrte: Joyce ttensman MRN: 00403824 pegl~il ehtu 665 ilil841'2 Print Tinrt:; 3I26POr2 l 7:00:43 Page3af 3FILED: ERIE COUNTY CLERK 04/10/2019 05:54 PM INDEX NO. 807466/2014NYSCEF DOC. NO. 136 RECEIVED NYSCEF: 04/10/2019 CATHOLICHEALTHSYSTEM MercyHospitalofBuffalo,565 AbbottRoad,Buffalo,NY 14220 EDNurseChart NAME: Bensinan,Joyce . ENC#: 665168472 DOB: MB#tnSW‡00403824 EDARRIVAL: 03/26/2012 EDDEPARTURE: 03/26/2012 EDPHYSICIAN: ED Nursing Doc:at:c::::ion in progress. The full ED record is available in MedHost or by contacting HlM Nurse's Notes Mercy Hospital of Buffalo Name:Joyce Bensman Emergency Department Age:52 years sex:Female DOB:05/08/1959 MRN:00403824 Arrival Date:03 /26/2012 Arrival Time:14:03 Account#:665168472 Bed1012DB Private MD:Melgar, Luis Presentation: 03/26 Presenting complaint: Patient stateS: Sent in by PMD for positive complete DVT to right dw 14:21 lower eXtrem1ty, recently discharged from Mercy With DX of bilateral lower eXt. DVT's for which she was treated. sent home on coumadin.. pt with Hx scleraderiiia. onset of symptoms: 2012. Acuity: 2 - Emergent. Method of arrival: In a wheelchair. care prlor to arrival: see note. Historical: • Allergies: Denies lateX allergy; No known drug Allergies; • Home Meds: 1. Klor-Con M20 oral 20 mEq twice a day 2.Omeprazole oral 20 mg daily 3. coumadin Oral 5 mg nightly 4.Hydrocodone-Acetaminophen 5/500 oral 5.L1pitor Oral 40 mg nightly 6. zaroXolyn oral 5 mg daily 7.Nifedipine oral 60 mg daily 8.Morphine Oral 80 mg twice a day 9. Prednisone oral 10 mg daily • PMHX: Rheumatoid Arthritis; cancer, skin; melanoma; Pulmonary Embolism; DVT; GERD; Reynaud's syndrome; HTN; Hyperlipidemia; scleroderma; • PSH×: Hysterectomy; Laparo5copic Abdominal surgery; • Advanced Directives: Patient has a health care proXy. • social history:: patient lives alone. communication: speaks fluent English. • Immunization history:: Last tetanus immunization: up to date. < 5 years ago Pneumococcal Vaccine None per patient. Influenza Vaccine last dose was October Page 1 o f 5 - Prin ted : 11/5/2014 1:05:11 PM -05:00FILED: ERIE COUNTY CLERK 04/10/2019 05:54 PM INDEX NO. 807466/2014NYSCEF DOC. NO. 136 RECEIVED NYSCEF: 04/10/2019 CATHOLICHEALTH SYSTEM Mercy Hospital of Buffalo , 565 Abbott Road , Buffalo, NY 14220 ED Nurse Chart NAME: Bensman, Joyce ENC#: 665168472 DOB: M1Wr an 00403824 ED ARRIVAL: 03/26/2012 - ED DEPARTURE: 03/26/2012 ED PHYSICIAN: ED Nursing Documentation in progress. The fidl ED record is audiú|ric in Mcd1kat or by contacting H1M 2011. • Medication Information:: Home med information obtained from: patient. • Iso precautions on last admission:: No. screening: 14:50 Abuse screen: Denies threats or abuse. Denies injuries from another. Exposure km5 risk/Travel Screening: None identified. Identified at risk for falls due to: no fall risk identified. vital signs: 14:15 BP 115 / 62 LA Supine (auto/reg); Pulse 82; Resp 16; Temp 98.3(0) ; sr3 14:51 Pulse Ox 99% on R/A; km5 15:13 BP 93 / 51; Pulse 87; Resp 16; Temp 98.6(0); Pulse Ox 100% on R/A; ss7 16:43 BP 127 / 71; Pulse 86; Resp 18; Temp 97.6; Pulse Ox 98% on 2L NC; km5 Vitals: 14:29 Pain: Yes Complains of pain in right index fingernail, right leg and right foot Pain dw currently is 9 out of 10 on a pain scale. OB/GYN: 14:29 LMP N/A - Hysterectomy dw Triage Assessment: 14:30 General: Appears in no apparent distress, comfortable, Behavior is appropriate for age, dw cooperative. Respiratory: No deficits noted. Dermatologic: Skin necrotic right index finger tip... blue/dusky right foot and lower extremity to mid thigh. Musculoskeletal: Range of motion intact in all extremities. Reports pain in right foot and right Paln is 9 out of 10 on a pain scale. Assessment: 14:50 General: Appears uncomfortable, Behavior is cooperative. Respiratory: No deficits km5 noted. Derm: DeCubitus None. Neuro: Level of Consciousness is awake, alert, Oriented to person, place, time. EENT: No deficits noted. Cardiovascular: right foot blue in color. cold with pulses on doppler- not palpable. Rhythm is regular Chest pain is denied. GI: Denies nausea, pain, vomiting. GU: No deficits noted. Musculoskeletal: Reports Page 2 of 5 - Printed : 11/5/2014 1:06:11 PM -05:00FILED: ERIE COUNTY CLERK 04/10/2019 05:54 PM INDEX NO. 807466/2014NYSCEF DOC. NO. 136 RECEIVED NYSCEF: 04/10/2019 CATHOLICHEALTHSYSTEM Mercy Hospital of Buffalo , 565 Abbott Road , Buffalo, NY 14220 ED Nurse Chart NAME: Bcñsraan, Joyce ENC#: 665168472 DOB: MR#se 29900403824 ED ARRIVAL: 03/26/2012 EDDEPARTURE: 03/26/2012 ED PHYSICIAN: ED Nursing Doctüñcñ:atiañ in progress. The fidl ED record is available in MedHost or by rantacting HlM pain in right leg. Procedure: 14:50 Procedure performed, with assist by ED staff member, No assisted procedures for this km5 patient. Labs drawn. (by ED staff). Sent per order to lab. Inserted saline lock: 20 gauge in right forearm and blood collected. Dispensed Medications: 15:14 Drug: Dilaudid 1 mg; Route: IVP; km5 16:47 Follow up: Response: Pain is unchanged, physician notified km5 Interventions: 14:32 Patient placed in exam room on stretcher. Family arrnmnanied patient. dw 14:50 Patient has correct armband on for positive identification. Allergy band on. Placed in km5 gown. Bed in low position. call light in reach. side rails up x2. swallow screen: swallowing Screen is not applicable to this patient at this time. cardiac monitor on. Pulse oX on. NIBP on. Comfort measures: Verbal reassurance given. Warm blanket given. Pillow given. observations: 13:43 Melgar,Luis, MD is Referring Provider. js2 14:03 Patient arrived in ED. kl3 14:05 Harris,Kaight,RN is Primary Nurse. lel 14:21 Triage completed. dw 14:21 Referring Provider role handed off by Melgar,Luis, MD dw 14:21 Melgar,Luis, MD is Private Physician. dw 14:24 Santiano,Jesus, MD is Attending Physician. is2 16:24 Alvarez-Perez,Julio A, MD is Admitting Physician. js2 16:25 Santiano,Jesus, MD is Attending Physician. js2 outcome: 16:25 Admit ordered by MD. is2 Page 3 of 5 - Printed : 11/5/2014 1:06:11 PM -05:00FILED: ERIE COUNTY CLERK 04/10/2019 05:54 PM INDEX NO. 807466/2014NYSCEF DOC. NO. 136 RECEIVED NYSCEF: 04/10/2019 CATHOLICHEALTH SYSTEM MercyHospital ofBuffalo, 565 AbbottRoad, Buffalo,NY 14220 ED Nurse Chart NAME: Bensman, Joyce ENC#: 665168472 DOB: MR#maw 00403824 ED ARRIVAL: 03/26/2012 ED DEPARTURE: 03/26/2012 ED PHYSICIAN: ED Nursing Doc:::::::ation in progress. The full ED record is availabic in MedHost or by contacting FHM 17:00 Admitted to Inpatient status cath lab for vena cava filter. PrescriptionS given X None km5 Admission information explained to patient. Additional hours of infusion: 16 - 30 minutes. Condition: stable. 17:05 Patient left the ED. km5 orders: Medication order: Dilaudid 1mg IVP Once; Ordered: 03/26 15:11; By: js2; For: js2; Administered: 03/26/12 15:14 By: km5; Frequenc 

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