Exhibit A — USA v. Edwards et al (Dkt. 153.1)

Record facts

U.S. District Court for the Middle District of Florida · No. 6:22-cr-00201-AGM-LHP · Doc. 153-1 · 2024-04-26 · Docket on CourtListener

Full text

EXHIBIT A  
The Medical Information required to transport the Defendant includes: 
USM 553 with medical summary to include: 
•
Medical Diagnosis
•
Current Medication(s)
•
Food/Medication Allergies
•
Current TB clearance (date & result)
•
Ambulatory status
o Walk independently?
o Climb stairs independently?
o Currently using any assistive devices? Will they be sent with?
•
Current weight
•
Independent with Activities of Daily Living (ADLs: eating, bathing, dressing,
toileting)?
•
Behavioral issues
•
Any other information that would be helping in the transportation and care of
this inmate
Additional information 
•
Any medical devices?
o Cardiac monitors, CPAPs, wound vacs, PICC lines, prosthetics,
colostomies, catheters, etc
•
Dialysis info
o Access site
o Schedule
o 1-2 weeks of dialysis run sheets or contact info of where these can be
requested from
•
Seizure info:
o Date of last seizure, if within the last 4 weeks
▪
Type, duration, rescue meds if required, etc
o Any changes to seizure medication in the last 4 weeks
•
Wheelchair info
o Does the prisoner have their own wheelchair, if so, Is it powered or
manual
o Is the prisoner able to transfer themselves in/out of wheelchair
•
Oxygen therapy
o How many LPM
o Is it continuous
Case 6:22-cr-00201-AGM-LHP     Document 153-1     Filed 04/26/24     Page 1 of 2 PageID
711

2 
o What route
o Does the inmate have their own concentrator, if so need make/Model
•
Suicidal
o Is the prisoner currently on suicide watch, mental health observations,
or other continuous observation
o If not currently on any type of watch, when was last watch (if
applicable)
o What suicidal or self-harm tendencies does the prisoner have
•
Recent Hospitalization
o If the inmate has been in the hospital in the last 30 days, please provide
hospital discharge paperwork that includes any test results, physician
notes, etc. The patient version of a discharge summary does not suffice.
Case 6:22-cr-00201-AGM-LHP     Document 153-1     Filed 04/26/24     Page 2 of 2 PageID
712

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