Wendy George

 
 April 04, 2016 17: 19 NSCL 
 (FAX)3629564429 
 P.001/029 
 Patient Communication: 
 Nursing Services & Consultants of Laredo 
 Patient: Kelly Lopez (BE50229) 
 114 W. Railroad Ave. 
 Date of Birth: May 13, 2003
 Benavides, TX, 78341 
 Date of Contact: May 21, 2018 
 Phone:   Fax:   
 Physician: JOHN MASCIALE (NPI: 1912919129) 
 601 TEXAN TRAIL #300 
 CORPUS CHRISTI, TX 78411 

 VS: B/P: 148/70 PULSE: 92RESPIRATIONS:1 TEMPERATURE: 97.9 SPO2: 95 WEIGHT: BLOOD SUGAR: 294 NON- 
 FASTING 
 COMMENTS: HYPERGLYCEMIA 
 Arrived at patient S home patient is laying in bed with multiple dogs home noted to be cluttered and 
 dirty with multiple pets living inside. Assessed patient head to toe with no new wounds noted. patient 
 states she does have pain in her left leg when ambulating.
 NURSES FOLLOW UP (MARK ALL THAT APPLY WITH AN X) : 
 None needed 
 Orders Received by RN (name) : 
 Physician's orders received: Refer to telephone order dated > (write date) 
 : 
 Physician notified. Orders received to continue with current plan of care including who spoke with: 
 Medication verified with Physician, Physician's office or written prescription. 
 Medication profile updated. 
 Patient/caregiver notified of new orders. 
 PHYSICIAN NOTIFIED: Masciale John 
 RN NOTIFIED: Diane Vaughn, RN 
 LVN REPORTING: Siera Bazan, LVN 
 PHYSICIAN FOLLOW UP/ORDER: 
 OTHER: 
 Signature: 
 Date: 
 Digitally signed by: SIERA CELESTA BAZAN LVN 
 August 21, 2019 
 76729-3 
 South Texas Bone & Joint - 00329
