CONSENT 0 Writteo 0~ CL~~.tt ~~~UnobtAinable

CONSENT ~~~UnobtAinableDue To Patient C>.Wiciou

0 Writteo Com:eQt 0~ CL~~.tt

0 Verbal Conun:n Qbtaiud

PRE:OJgGEmTION
t).{o(Wo NRB 0 N«~oe

PRE-MEDICATION

SEDAT1_91*- 0 Thi:cpenul (P-entoth&JN) 0 F~ (Su.blimaze~ 0 Midau!am (Vened!M) ,...-
0 ~taminc (Ket2..W"') 0 Propoful (Diprivannl) 0 Etomidate (lunidatc'tll)
4:tN:ac

• The ETTakwu taped. a t _ em atth.: lips

• PO$t-iatubatioR OCR. ct>Ofitmcd good tube loeatioo: 0 Y Other. - - - - - , - - - - - - - - - - -
• Thepatieuttol~theprot'ledttt"e:: OWdl 0 Adequatdy 0 P~

-__ -__.., ,_.... EDRB<X>lU> INnJllATION

LOCATION' ,0- O•cu """' , lf:-

0:

INITL\LAs::mssMENT:

0./ Airlni,.: lotub£tcd

" - a- a......, /!N:
.t' Ci=.~Wio..: n

lNmAL'I:'!:!Lllwmm 0 PBA 0 """""'" vr 0 i
0BJMr~ 0V"R.
.. "' ..

. •'

·--·--••••••••••-•--••-••••·--·~-·-•••-••••-·---•-»-••-••----•-••••-•-·-~--n-•--·---",1"""'"'

. . ""' v (/

________ _____ ________.,_.,, , _______________________
,,,.,, , ,,_.,.

- -____.... /

Hosm&COOB

02122J2002 7:02:29 AM

i

······-·····················---······---------------·--·····-··-----·-····-·---···--··---·-------4--
'
.
'

"Vaginal Area clear +
Tube passed easily.
Assisted by Pat
Murphy. No
complications."
NO mention of trauma
to genital area.

- -______...

\._./ "there were retinal hemorrhages B/L,
child's anal opening was dilated

0212212002 7:42:03 AM 'r.::atchez Community B011pltal ' - ' approximately the size of a quarter.
129 kff!>avia.B1"o'd. .PO lk« 1230 Natchez MS 3912(1/ 601-44$.6100 There was a tearing of the perianal
tissue including anal sphincter muscle."
::, !~B!!LJ2!ih<?§_,____ ~~- Aeo: .6/tz1:!:i__

Presence of Blood is NOT noted.

ON-TARGET RELIEF

..- -·-•·---•wW<~••·~··--·-~----W·-

.

w•----·-·-~