COMMUNITY CARE-EMER SELF PRESENTING CARE COORD PLAN NOTE Has ADDENDA
Emergency Notification Intake
Date Presenting to the Facility: Jun 12,2025
Method of Contact
Submitted to Centralized Call Center
Notification ID: L-20250612211056832
HSRM Referral #:
Community Hospital Name
Hospital: BARSTOW COMMUNITY HOSPITAL
Address
City: Barstow
State: CA
Zip Code
Phone
Community Facility Point of Contact
Name
Phone
Chief complaint: FOUND UNCONSCIOUS
Primary Diagnosis
Disposition
PER OPERATOR PATIENT REMAINS IN THE ED. WILL UPDATE NOTE UPON FURTHER CONTACT.
Healthcare Technician
Transfer
Transfer to VA
Has the Veteran had a COVID-19 lab test performed?
Unknown
The Veteran is stable for transfer.
Veteran is requesting transfer to VA.
A VA Bed is available
A VA Provider has accepted the Veteran Transfer
Transfer forms have been completed.
Life Sustaining Treatment Orders?
Unknown
Is Isolation needed?
Unknown
Transportation arranged for: Jun 12,2025
Mode of Transportation
Around 1702 received call from Sarah, Barstow CH (760.957.3006) stating veteran
is requesting to transfer to VA-LL. Sarah provided brief background- resp
failure on 4L NC no drips. Completed Repatriation worksheet and printed to ED
charge station. Called ED charge RN (ext 5099) spoke with Marvel, who provided
Dr Witkos ext. Conference call with Dr Allen and Dr Witkos. Dr. Allen stated
veteran has hx of CHF and COPD, veteran’s son went to check up on found him
laying on the floor, possible suicide attempt, 10-11 valium tablets were taken,
EMS arrived veteran was found to hypoxia, 70s-80s while in the ED placed on
BiPAP and weaned to 4L NC, veteran is not endorsing SI, waiting for tox screen
to be resulted. Dr Witkos asked if the veteran intubated, Dr Allen stated
veteran is DNR/DNI. Dr Witkos accepted veteran for transfer. Called was
transfered back to Sarah provided her with accepting physician and number for
report. Sarah stated she will arrange transport and call the transfer center
back when she has a pick up time.
NOD was made of the transfer.
Placed veteran on the repariation tracker.
STAFF NURSE
Around 1858 called Barstow CH ED (760.957.3006) spoke with Sarah who stated
transport just picked up veteran. NOD was made made.
STAFF NURSE
Around 2023 received call from HOD Lauren stating veteran just arrived and
checking in now.
STAFF NURSE