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  • Sayed Pedeker (Qcon) - Illness and Injury Report

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    Victoria Gomez
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    1. Sayed Pedekar, a 42-year-old Indian national working as a rigger, reported to the GV Camp Clinic with chief complaints of pain when defecating for 15 days. 2. On examination, his blood pressure was 137/82, pulse was 61, and temperature was 36.2 degrees Celsius. He had blood in his stool. 3. He was sent to the RLMC/Almadina Hospital for further management and prescribed various medications.

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    Sayed Pedeker(Qcon)-Illness and Injury Report

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    1. Sayed Pedekar, a 42-year-old Indian national working as a rigger, reported to the GV Camp Clinic with chief complaints of pain when defecating for 15 days. 2. On examination, his blood pressure was 137/82, pulse was 61, and temperature was 36.2 degrees Celsius. He had blood in his stool. 3. He was sent to the RLMC/Almadina Hospital for further management and prescribed various medications.

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    14 views1 page

    Sayed Pedeker (Qcon) - Illness and Injury Report

    Uploaded by

    Victoria Gomez
    1. Sayed Pedekar, a 42-year-old Indian national working as a rigger, reported to the GV Camp Clinic with chief complaints of pain when defecating for 15 days. 2. On examination, his blood pressure was 137/82, pulse was 61, and temperature was 36.2 degrees Celsius. He had blood in his stool. 3. He was sent to the RLMC/Almadina Hospital for further management and prescribed various medications.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xls, pdf, or txt
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    ILLNESS AND INJURY REPORT

    Patient Information Name: Sayed Pedekar Age: 42 Nationality: Indian Area of Assignment: CORRIDOR Section A. To be filled by the Doctor: Position: RIGGER Company: QCON BADGE NO: JBOG-80408

    JBOG Recovery Project

    Incident 00/06/2012 Time of Incident: 0000 HOURS Reported to GV Camp Clinic: 25/08/2012 at 11:35 Hrs. ROOM NO: C5/25 FF4 MOBILE NUMBER: 66230096

    CHIEF COMPLAINT:PAIN WHEN DEFECATES FOR 15 DAYS Sick Leave: (Pls. tick) > VS: BP: 137/82 PR: 61 T: 36.2 > (+) Blood in stool Yes If yes, no. of days: No

    11:45> Sent to RLMC/ALMADINA for further management >QRC/FLUOR NURSE/CAMP MANAGEMENT informed 17:45 Cameback to GV MAC 1. Lignocaine 2% gel apply 1 application OD 2. Ranitidine 150mg 1tab BID 3.Amlodipine 5mg 1 cap OD 4. Ibuprofen 400mg 1 tab TID 5. Bulk laxative sachet take 1 sachet BID >QRC/ FLUOR NURSE/ CAMP MANAGEMENT INFORMED

    ristan Palacpac

    Classification: (Pls. tick) Work-related Injury Work-related Illness Non-work-related Illness/Injury

    Referral: (Pls. tick) Yes If yes, referred to: __________________

    Attended by: DANTE V. AUSTERO - GV MAC NURSE JBOG Recovery Project

    RLIC/Al Madinah Medical Center Al-Khor Hospital Hamad Medical Center

    Note: Please attach all relevant documentation including sick leave forms issued by RLIC, Al-Khor Hospital, etc. before forwarding to HSE for classification.

    Section B. To be filled by Health Safety and Environment (HSE) Manager

    Classification: (Pls. tick) First Aid Medical Treatment Restricted Work LTA

    If LTA, how many days?

    If Restricted Work, state details:

    Comments / Justification of Classification:

    Classified by:

    Section C. Return To Work (RTW) Certification - To be filled by JBOG Recovery Project Doctor Comments: (Please provide details) Fit to return to work Unfit to return to work Reassignment

    Important: Please fax signed copy to Qatargas Medical Center at 4473-6189.

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