On November 06, 2020 a
Exhibit,Appendix
was filed
involving a dispute between
Kevin Lynch
As Administrator Of The Estate Of Rose Bouknight,
and
Glen Island Center For Nursing And Rehabilitation And,
Jopal Bronx Llc
D B A Workmen'S Circle Multicare Center,
Montefiore Medical Center,
for Torts - Medical, Dental, or Podiatrist Malpractice
in the District Court of Westchester County.
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Rl . Dy -INDEX NO. 64205/2020
NYSCEF DOC. NO. 116 ~ ° ° : . . "RECEIVED NYSCEF: 10/30/2022
EXHIBIT Q-6D: W H
INDEX NO. 64205/2020
NYSCEF DOC. NO. 116
RECEIVED NYSCEF: 10/30/2022
Print: Thu, 3 Mar 22 1228 | Bouknight,Rose_m 6049894-1 IP]
Page 1065 of 1893 | DIS-6A1402 Age: 80Y Sex: F I
Jacobi Medical Center | DOB: iii MR# 6049894 I
| Adm: 22 Oct 17 1823 Dis: 21 Nov 17 1931]
| Att Phys: Meholli,Mimoza, MD |
| Servic nternal Medicine I
Chart Update
Chart Group: Assessments and Progress Notes (420) -- continued
Mon, 2ONov 0030 Med/Surg Transfer In Summary supplemental
Transfer Date/Time :19 Nov 17 2340
Transfer to : 6A1402
Transfer from : 6A1402
Reason for Adm : Steven Johnson Syndrome
Transfer Reason : Reason: requires less frequent monitoring
Transfer Mode
Time: 2340 Notified: Hector
Rojas-Martinez, MD
: transported via stretcher accompanied by
patient transport/escort
Patient Status : fair
Possessions : clothes
1
Allergies - Med : Medication: Procardia Symptom(s): rash
Severity: moderate Adverse event
type: drug allergy
Medication: Cyproheptadine HCI Symptom(s):
“?SJIS Severity: severe
Medication: Levaquin Symptom(s): *SJS
Medication: Allopurinol Symptom(s): *SJS
Medication: Colchicine Symptom(s): rash
Medication: CefTRIAXone Sodium Symptom(s):
rash
Allergies - Other : no known food/environmental allergies
Weight
Funct Assess:
Funct Assess:
Funct Assess:
Funct Assess:
Funct Assess:
Funct Assess:
Funct Assess:
Funct Assess:
Funct Assess:
Funct Assess:
Funct Assess:
Funct Assess:
Description
Bouknight,Rose_m
: 84.59 kg (186 Ibs 8 oz)
Physiatrist: no
Bedrest’ : patient is on bedrest
Moving : difficulty moving, onset is new, within past
month
Muscle Weak: muscle weakness of new onset, within past
month
Feeding : unable to feed self independently
Swallow :no
Voice :no
Language :no
Stability : medical condition permits participation in
therapy
Referral (P: yes
Refer OT? : yes
Refer Speec: no
: Location: left buttock Stage: stage 2 red
skin, epidermis damaged Assessment:
full assessment Stage 2:
6049894-1 DIS-6A1 MR# 6049894D: W H
NYSCEF DOC. NO. 116
Print: Thu, 3 Mar 22 1228 | Bouknight,Rose_m 6049894-1 IP]
Page 1066 of 1893 | DIS-6A1402 Age: 80Y Sex: F I
Jacobi Medical Center | DOB: iii MR# 6049894 I
| Adm: 22 Oct 17 1823 Dis: 21 Nov 17 1931]
| Att Phys: Meholli,Mimoza, MD |
| Servic nternal Medicine I
Chart Update
Chart Group: Assessments and Progress Notes (420) -- continued
Mon, 2ONov 0030 Med/Surg Transfer In Summary -- cont'd
Abrasion/shallow crater: Wound
cleanser/ hydrocellular foam
polyurethane drsg applied. Size:
measures 0.5 x 0.5cm Color: pink
Characteristics: no drainage Odor:
none
Location: right buttock Stage: stage 2 red
skin, epidermis damaged Assessment:
full assessment Stage 2:
Abrasion/shallow crater: Wound
cleanser/ hydrocellular foam
polyurethane drsg applied. Size:
measures 0.5 x 0.5cm Color: pink
Characteristics: no drainage
Dressing: Dressing changed as per
protocol.
Location: right buttock Stage: stage 2 red
skin, epidermis damaged Assessment:
full assessment Stage 2:
Abrasion/shallow crater: Wound
cleanser/ hydrocellular foam
polyurethane drsg applied. Size:
measures 2 x 1¢m Color: pink
Characteristics: no drainage
Dressing: Dressing changed as per
protocol.
Location: right buttock Stage: stage 2 red
skin, epidermis damaged Assessment:
full assessment Stage 2:
Abrasion/shallow crater: Wound
cleanser/ hydrocellular foam
polyurethane drsg applied. Size:
measures 0.5 x 0.5cm Color: pink,
Characteristics: no drainage
Dressing: Dressing changed as per
protocol.
Risk Assessment : 12 Sensory Perception: no
Bouknight,Rose_m
impairment/responds to verbal
commands Moisture: occasionally
moist/skin is occasionally moist.
linen changed daily Activity:
bedfast/confined to bed Mobility:
completely immobile/does not make any
6049894-1 DIS-6A1 MR# 6049894
INDEX NO. 64205/2020
RECEIVED NYSCEF: 10/30/2022
Document Filed Date
October 30, 2022
Case Filing Date
November 06, 2020
Category
Torts - Medical, Dental, or Podiatrist Malpractice
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Rl . Dy -INDEX NO. 64205/2020 NYSCEF DOC. NO. 116 ~ ° ° : . . "RECEIVED NYSCEF: 10/30/2022 EXHIBIT Q-6D: W H INDEX NO. 64205/2020 NYSCEF DOC. NO. 116 RECEIVED NYSCEF: 10/30/2022 Print: Thu, 3 Mar 22 1228 | Bouknight,Rose_m 6049894-1 IP] Page 1065 of 1893 | DIS-6A1402 Age: 80Y Sex: F I Jacobi Medical Center | DOB: iii MR# 6049894 I | Adm: 22 Oct 17 1823 Dis: 21 Nov 17 1931] | Att Phys: Meholli,Mimoza, MD | | Servic nternal Medicine I Chart Update Chart Group: Assessments and Progress Notes (420) -- continued Mon, 2ONov 0030 Med/Surg Transfer In Summary supplemental Transfer Date/Time :19 Nov 17 2340 Transfer to : 6A1402 Transfer from : 6A1402 Reason for Adm : Steven Johnson Syndrome Transfer Reason : Reason: requires less frequent monitoring Transfer Mode Time: 2340 Notified: Hector Rojas-Martinez, MD : transported via stretcher accompanied by patient transport/escort Patient Status : fair Possessions : clothes 1 Allergies - Med : Medication: Procardia Symptom(s): rash Severity: moderate Adverse event type: drug allergy Medication: Cyproheptadine HCI Symptom(s): “?SJIS Severity: severe Medication: Levaquin Symptom(s): *SJS Medication: Allopurinol Symptom(s): *SJS Medication: Colchicine Symptom(s): rash Medication: CefTRIAXone Sodium Symptom(s): rash Allergies - Other : no known food/environmental allergies Weight Funct Assess: Funct Assess: Funct Assess: Funct Assess: Funct Assess: Funct Assess: Funct Assess: Funct Assess: Funct Assess: Funct Assess: Funct Assess: Funct Assess: Description Bouknight,Rose_m : 84.59 kg (186 Ibs 8 oz) Physiatrist: no Bedrest’ : patient is on bedrest Moving : difficulty moving, onset is new, within past month Muscle Weak: muscle weakness of new onset, within past month Feeding : unable to feed self independently Swallow :no Voice :no Language :no Stability : medical condition permits participation in therapy Referral (P: yes Refer OT? : yes Refer Speec: no : Location: left buttock Stage: stage 2 red skin, epidermis damaged Assessment: full assessment Stage 2: 6049894-1 DIS-6A1 MR# 6049894D: W H NYSCEF DOC. NO. 116 Print: Thu, 3 Mar 22 1228 | Bouknight,Rose_m 6049894-1 IP] Page 1066 of 1893 | DIS-6A1402 Age: 80Y Sex: F I Jacobi Medical Center | DOB: iii MR# 6049894 I | Adm: 22 Oct 17 1823 Dis: 21 Nov 17 1931] | Att Phys: Meholli,Mimoza, MD | | Servic nternal Medicine I Chart Update Chart Group: Assessments and Progress Notes (420) -- continued Mon, 2ONov 0030 Med/Surg Transfer In Summary -- cont'd Abrasion/shallow crater: Wound cleanser/ hydrocellular foam polyurethane drsg applied. Size: measures 0.5 x 0.5cm Color: pink Characteristics: no drainage Odor: none Location: right buttock Stage: stage 2 red skin, epidermis damaged Assessment: full assessment Stage 2: Abrasion/shallow crater: Wound cleanser/ hydrocellular foam polyurethane drsg applied. Size: measures 0.5 x 0.5cm Color: pink Characteristics: no drainage Dressing: Dressing changed as per protocol. Location: right buttock Stage: stage 2 red skin, epidermis damaged Assessment: full assessment Stage 2: Abrasion/shallow crater: Wound cleanser/ hydrocellular foam polyurethane drsg applied. Size: measures 2 x 1¢m Color: pink Characteristics: no drainage Dressing: Dressing changed as per protocol. Location: right buttock Stage: stage 2 red skin, epidermis damaged Assessment: full assessment Stage 2: Abrasion/shallow crater: Wound cleanser/ hydrocellular foam polyurethane drsg applied. Size: measures 0.5 x 0.5cm Color: pink, Characteristics: no drainage Dressing: Dressing changed as per protocol. Risk Assessment : 12 Sensory Perception: no Bouknight,Rose_m impairment/responds to verbal commands Moisture: occasionally moist/skin is occasionally moist. linen changed daily Activity: bedfast/confined to bed Mobility: completely immobile/does not make any 6049894-1 DIS-6A1 MR# 6049894 INDEX NO. 64205/2020 RECEIVED NYSCEF: 10/30/2022