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    Illness and Injury Report: RR: 21 Sent To RLMC/ALMADINA CLINIC For Further Management

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    Victoria Gomez
    Patient Information: Deogines Balmes, 53 year old Filipino pipe fitter working at JBOG Recovery Project, reported dizziness and body weakness since morning. Medical Report: The patient was seen at the GV Camp Clinic and his vitals were checked. He was sent to RLMC/Al Madinah Clinic for further evaluation. He was diagnosed with a non-work related illness and prescribed Paracetamol for treatment. Classification: The incident was classified as a non-work related illness by the nurse and doctor. The patient was deemed fit to return to work after treatment.

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    Illness and Injury Report: RR: 21 Sent To RLMC/ALMADINA CLINIC For Further Management

    Uploaded by

    Victoria Gomez
    1 views1 page
    Patient Information: Deogines Balmes, 53 year old Filipino pipe fitter working at JBOG Recovery Project, reported dizziness and body weakness since morning. Medical Report: The patient was seen at the GV Camp Clinic and his vitals were checked. He was sent to RLMC/Al Madinah Clinic for further evaluation. He was diagnosed with a non-work related illness and prescribed Paracetamol for treatment. Classification: The incident was classified as a non-work related illness by the nurse and doctor. The patient was deemed fit to return to work after treatment.

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    DEOGINES BALMES (QCON)

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    Patient Information: Deogines Balmes, 53 year old Filipino pipe fitter working at JBOG Recovery Project, reported dizziness and body weakness since morning. Medical Report: The patient was seen at the GV Camp Clinic and his vitals were checked. He was sent to RLMC/Al Madinah Clinic for further evaluation. He was diagnosed with a non-work related illness and prescribed Paracetamol for treatment. Classification: The incident was classified as a non-work related illness by the nurse and doctor. The patient was deemed fit to return to work after treatment.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    1 views1 page

    Illness and Injury Report: RR: 21 Sent To RLMC/ALMADINA CLINIC For Further Management

    Uploaded by

    Victoria Gomez
    Patient Information: Deogines Balmes, 53 year old Filipino pipe fitter working at JBOG Recovery Project, reported dizziness and body weakness since morning. Medical Report: The patient was seen at the GV Camp Clinic and his vitals were checked. He was sent to RLMC/Al Madinah Clinic for further evaluation. He was diagnosed with a non-work related illness and prescribed Paracetamol for treatment. Classification: The incident was classified as a non-work related illness by the nurse and doctor. The patient was deemed fit to return to work after treatment.

    Copyright:

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    ILLNESS AND INJURY REPORT

    Patient Information Name: DEOGINES BALMES Age: 53 Nationality: FILIPINO Area of Assignment: LAYDOWN Section A. To be filled by the Doctor: Position: PIPE FITTER Company: QCON BADGE NO: JBOG-81523

    JBOG Recovery Project

    Incident 00/08/2012 Time of Incident: 0000 HOURS Reported to GV Camp Clinic: 19/08/2012 at 013:45 Hrs. ROOM NO: C 5 48 GF 1 MOBILE NUMBER: 55799397

    CHIEF COMPLAINT: DIZZINESS; BODY WEAKNESS SINCE MORNING Sick Leave: (Pls. tick) VS: (+) headache BP: 120/90 (+) good appetite PR: 66 (-) nausea/vomiting T: 37 RR: 21 RBS: 111 mg/dl > Sent to RLMC/ALMADINA CLINIC for further management > QRC/FLUOR NURSE informed 19:40> Cameback to GV MAC Home meds 1. Paracetamol 500 mg 2 tabs q 6 prn *For follow up on 21 August 2012* > QRC/FLUOR NURSE informed Yes If yes, no. of days: No

    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: NIKKO ANDREW B. PIGTAIN - 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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