+ CH WILSON, DARREN D ECDF 8/9/2014 T1Pace 8/9/2014 2:59:55 PM 8/9/2014 3:0¢ NwrD Tissier 0 sat Te Prteaien ‘Admission Form ‘0408/2014 14:20 . [Ecor ioe sindvs zr [mete L ‘ACUTE ERD N OP Pim bx Code Doar Iriectous Vator Raseon ALLEGED ASSAULT eatin Reston TT a ee Oa Ws 43984 Eee fae [san oa i Walden Won Tee 4 ay Wit i Isa co ian oa oF Sy 7 5 ane coy [ser i we oT Pet ing wal Sa Patent Nar ares, Prone ayer Wars Aan, Ps [Ein ir ‘WILSON, DARREN D FERGUSON POLICE L on [Buaor Namo, PR Adieu, Pa Sara ip, Rare Pr a Sar "FERGUSON POLICE 94 xk — erargeney Conaert Eagerey CBE Prone: __Phowez Iarance Was, Adan, Prone FoteyRanbar [Gran naa Taran Ea Festa Pio insurance 2 Kam, Adress, Phone acy Raber ——| Group Mano Saree co Raia F Ser ERB Vella? Ea Piste Fane Texan 5 Wars, Aree, Poe Saber oR Subsea Enea Vertes? ao Proce Pone Insurance «Was ares, Powe tae apie Saar 55 aa Saisie Eonar Vesta? Biba Pest Pe Pry Pays [aang Prin ao a MISCELLANEOUS, NOTINFILE Teas —[ ea THE STioy [Toten Dern anon os/oorig Onset oor Oth Ace MO "ASSAULTED BY SUSPECT FERG POLICE DEFT. Fae tenon Caper — — Fale Noienton [Sit bois Epa ae Fane OTT 188 Tia PRINTED BY: ban 8/13/2014HealthCare oweussbumee St Louis, MO 63136 COPIED Abstract Summary Patent Name ‘ox Bi Oat ioe [MR Number | Acco Number WILSON, DARREN D Male B ‘hat Dato Discharge Date Los | Biteg Categry Dispoaion ceroara2:20 pm | osroariaatzpM | 4 WORK COMP Of-DISCHARGE TO HOME {ROUTINE) “ated Pisin oor Patent Tye0 ERED ia oe ae a: APC Taal Ratburoant APC To og oat Ue Ramee ape | Guin Te ci penton conto te a eee Patent pa v3, DARREN © MES oon caz0 Pa Sete wea oer pasate nane Page tof PRINTED BY: DATE: 8/13/2014z Page 1 of 11 NORTHWEST HEALTHCARE a part of Christian Hospital - Florissant, MO 63031 DARREN D WILSON DOB: Age/Gender:28y M 7 8/9/2014 14:20 Acct Private Phys: MISCELLANEOUS, NOTINFILE ED Phys: CHIEF COMPLAINT: Enc. Type: ACUITY: Alleged assault Initial 3-ESI Physicians caring for patient: VITAL SIGNS Initials/Date/Time Temp(F) Rt. Pulse Resp Syst Diast Pos. O2Sat 02Supp PAIN NJH3 8/9/2014 14:38 97.9 om 18 162 8 S$ 100 1a Vital Signs Aler Check Vital Signs < PRalBZ0%8 144s TRIAGE Medical Screening Exam Initiated <.cc oaos4 14:28 > Patient arrived for evaluation: Approximately Saturday, August 9, 2014 14:28 Initial VS Deferred Patient is not on isolation. <.cc osoats 14:29> ‘The patients preferred language Is English Patient to: Room in ER LCC ana0%a 14:20> MEDICAL SCREENING CONTINUED ‘The patient is called to the medical screening area, History Provided By: Patient BJC 24-7 Occupational Med notified. Fall Risk Assessment: Not at Risk. «ts ova 14:20> ‘The skin is pink, dry and warm << NaHS 892014 1453 Patient denies physical or emotional abuse. «wis 09!0rn4 14:39> Suicide Risk Assessment: <3 00a 1699 ‘The patient is not expressing thoughts of harming self or others. Prat ‘or Ta Ee Medical Chart with Audits PRINTED BY: DATE: 8/13/2014