Free Essay

Pulse-W

In:

Submitted By alexis0713
Words 1196
Pages 5
Pacific Utility Logistics Support Enabler – Watercraft Challenges
The 97th Transportation Battalion from FT Eustis, VA was tasked to provide all required vessel’s crew. My primary task was first effectively to synchronize the CLI support mission and second to help our staff in seamless planning, coordination, and integration of the two U.S. Army watercraft crews. Additional tasks included ensuring timely reporting, logistical resupply, regional intelligence coordination, communications, and maintenance/contracting support. Our biggest challenges included coordination and synchronization of the following areas: menu development and submission, communications security, ammunition, CLII purchases, port operations, UCMJ authority, maintenance quality control, lacking leadership of food service personnel, and pre-deployment training.
Obersvation1: Communications Security (COMSEC) Draw was not completed as required.
Discussion: Initially vessel teams were supposed to complete required paperwork at their home station in order to draw COMSEC and Courier orders at Yokohama North Dock (YND). On the day of the draw it was discovered that the 97th Transportation Battalion crew did not have the required paperwork or clearance to obtain courier orders. There also seemed to be confusion as to what authority is needed to sign off on the required documentation. A last minute teleconference between 8th TSC, 35th CSSB, 10th RSG and 78th Signal BN ensured crews were able to draw COMSEC. COMSEC is required to communicate with 7th Fleet and not having it would severely impact the mission.
Recommendation: Once a detachment commander is identified representatives from the SPO fusion cell should immediately make email and telephonic contact. The DET CO should fill the paperwork required to draw COMSEC and submit it for review by the COMSEC manager at least one month before crews leave home station.
Observation 2: Ammunition. LCU teams were not able to ensure the functionality of their weapons.
Discussion: As part of the vessel draw from APS-4 the LCU, crews brought four brand new, never been fired M2s. Requesting test fire ammunition (training ammunition) did not occur until one week before the vessel departed YND. As a result, munitions were not ordered and crews were not able to ensure functionality of the weapon system.
Recommendation: Request (from home station) training ammunition in advance of deployment or include functions check as part of the APS-4 draw process. During sea trials crews should sail into international waters test fire the weapons. This will allow them to draw another weapon at YND if the weapon is dysfunctional.
Observation 3: CLII purchases were not carried out in accordance with guidance provided in OPORD.
Discussion: Vessels sent a supply request to 10th RSG shortly before they arrived at white beach. 10th RSG S4 was forced quickly buy expendable items such as trash bags, white boards, air tools etc. Many of these items can be purchased through the Army supply system given time and planning.
Recommendation: Maintain the supply request list to use as a guideline for ordering CL II in the future. Crews must request items sooner. S-4 should have a formal system in place to accept supply request.
Observation 4: Port operations were not coordinated accordingly.
Discussion: There was confusion on the ground as to when vessels were moving and to who made that call. It was also unclear as to whether vessels with containerized ammunition could remain pier side at white beach.
Recommendation: Ensure SDDC and the Port Ops Officer at white beach talk to each other. Recon port operations site and have an hour by hour timeline of events.
Observation 5: UCMJ authority was not adequately clarified before hands.
Discussion: Command and legal relationships remained unclear even after vessel’s crew arrived in theater. Questions remained as to who has UCMJ authority and what latitude is available to add to the liberty policy i.e. no consumption of alcohol.
Recommendation: Establish a memorandum of agreement between two commands that outline what authority can be exercised by whom. Have legal representation of the 10th RSG fusion cell.
Observation 6: Maintenance quality control procedures for vessels were not identified and outlined correctly.
Discussion: Vessel Support Systems (House A/C and Bridge A/C, freezer) were having systemic problems. During troubleshooting ENGs found a jumper wire in the freezer wiring harness bypassing the defroster.
Recommendation: YND should exercise the support systems during scheduled maintenance, dock and sea trials.
Observation 7: Menu development and submission should be completed by vessel’s crew well in advance.
Discussion: The 10th RSG and USARPAC Supply and Services (S&S) had to develop menus for the vessels instead of the crew’s organic food service personnel.
Recommendation: Assigned food service personnel and crews should have created and submitted either 14-day or 21-day menus per MACOM's or USARPAC's guidance and suspense. This will give crews a better chance to plan and choose preferred meals.
Observation 8: Not having the right food service personnel skill –set and leadership had an adverse impact on the feeding mission.
Discussion: Cooks aboard the vessel must be able to manage and distribute 15 to 20 DOS of CL I for 15 PAX at a ration cycle of A-A-A. This requires a sophisticated level of planning to ensure CL 1 is not wasted.
Recommendation: Food Service Specialists' Skill-Set: Recommend at a minimum (1) (20-level) skill-set per vessel as the nature of the mission requires working with minimum or no 92G supervision. Cooks must be "self-starters" and of an advanced skill level.
Observation 9: Proper pre-deployment training to ensure crew obtained the right mandatory certificates was not conducted as prescribed.
Discussion: The following documents AT Level I, SERE 100, and ISOPREP were all part of the pre-deployment training. These requirements need to be pushed to deploying units within 90 days of departure with the understanding that the ISOPREP should be done 30 days prior to departure. While this information was not needed for an IATP or APACS submittal, it is still required by USAPACOM prior to coming into the AOR. This training can be done online by anyone with a CAC card, except for the ISOPREP that most BN S2s can update. AT Level 1 is an annual requirement, but should be done prior to departure so that deployed SM does not have to do it while floating around the AOR.
Recommendation: BN or CO CDRs should submit memorandum for record certifying their SM have had all the required training to include courses and dates completed.
Summary: The 10th RSG staff was faced with many challenges during the execution of the PULSE-W mission. In an effort to begin successfully mitigating some of the aforementioned challenges the 10th RSG activated a Fusion Cell with staff members from the S2, S3, S4, S6 and SPO sections to facilitate and manage the two LCU 2000 series vessels and its crews. The Fusion Cell provided a venue to synchronize efforts and coordinate for COMSEC, CL I, II, V, and IX, maintenance, contracting, etc. Furthermore, the Fusion Cell conducted 24hr operations while the vessels are underway in order to monitor vessel progress, maintain active communication, field request for information and respond to emergency situations. Future iterations of PULSE-W will benefit from maintaining a forum similar to the Fusion Cell.

Similar Documents

Free Essay

Paper

...eats three meals a day | Posture and position | Patient maintains good posture and position | Obvious physical deformities | No physical deformities noted | Mobility: gait, use of assistive devices, ROM of joints, no involuntary movement | no problems with mobility noted, patient ambulates w/o assistance, ROM of joints intact, patient pt able to rotate feet, ankles, and arms, no Involuntary twitches or movements noted | Facial expression | No abnormal facial expressions noted, pt has nice smile | Mood and affect | patient appears to be in good spirits, patient has smile on face, pt cooperative and answers questions when prompted | Speech: articulation, pattern, content and appropriate, native language | patient speaks English appropriately, patient articulates and enunciates well, all content related to pt’s health | Hearing | patient denies hearing problems, patient able to hear and follow commands when directed | Personal hygiene | patient appears clean, no dirty skin visible, no foul smells noted | | | | | Measurements and Vital Signs Height | 5 foot, 4 inches | Weight | 130 lbs | BMI | 24% | Radial pulse: * Rate * Rhythm | 87 Normal Rhythm noted | Respirations: * Rate * Depth | 14 Normal depth noted, no distress noted, pt denies SOB | Blood pressure (indicate if sitting or lying) | Sitting 120/62 | Pain assessment | patient denies all pain | Physical Assessment Skin ...

Words: 1787 - Pages: 8

Free Essay

Bichem

...* A series of steps that lead to accomplishing some goal or purpose. * A systematic and organizes method for providing care to clients. * Provides individualized, holistic, effective and efficient client care. * Clients of all ages and in any care setting. * Characteristics of Nursing Process * Problem solving method - client focused * Systematic- sequential steps * Goal oriented- outcome criteria * Dynamic-always changing, flexible * Utilizes critical thinking processes * ● Interpersonal – promotes nurse-client relationship● * Cyclical – continuous and promotes improvement of nursing care * Systematic problem - solving approach toward giving individualized nursing care. STEPS: * Assessment * Nursing Diagnosis * Planning and outcome identification * Intervention * Evaluation * ASSESSING PATIENT’S HEALTH STATUS Assessment * A systematic collection of subjective and objective data with the goal of making a clinical nursing judgment about an individual, family or community. * 1st phase of nursing process which involves systematic data collection , organization and validation, interpretation, and documentation of data. * Purpose of Nursing Assessment * To establish the client-nurse relationship. * To obtain information about the client’s health, including physiologic, socio-cultural, cognitive, developmental & spiritual aspects. * To identify actual & potential...

Words: 5902 - Pages: 24

Free Essay

Acls Provider Update

...simulator, get evaluation sheets and give one to each student (have them put name on it and it gets turned in after BLS session) – Jim puts test out on table at 1000 or a little after Video Set to renewal and ratio for update or initial is 2:1 They will watch sections of the video and stop to practice when given time, make sure they are counting out loud and they can move the mannikan to the floor if they need to do compressions Emphasize change to CAB, just enough bagging to get visible chest rise, minimize interruptions, allow complete recoil of chest, rotate and change out compressors every 2 minutes (when tired you are 30% less effective at compressions), no more look, listen and feel (just take less than 10 seconds to determine a pulse and breathing) 1. First practice compressions only (switch) 2. Second practice mask breathing only (switch) 3. BWM practice only (switch) 4. Put it all together ( ADULT ONLY) Watch both AED section then demonstrate AED (TURN IT ON) – in infants under 1 y/o manual defib preferred if don’t have use dose attenuator if don’t have that use normal AED, 1-8 y/o a dose attenuator preferred – if you don’t have either can use regular AED – can use AED in small puddle and snow, accelerometer in puck, razor and towel only 1 set so don’t rip them off Child = 1 y/o until puberty (boys look for chest and underarm hair, girls look for breast development Only practice choking infant not child, demonstrate on adult manikin kneeling ...

Words: 1711 - Pages: 7

Free Essay

Heat to Toe Assessment Dof

...Head-to-Toe Examination Write Up Biographic Data Date: 11/8/13 | Name: L.C. | Gender: Male | Race: Hispanic | Date of Birth: 04/15/1972 | Age: 42 | Marital Status: married | Contact Person: J.C. ( Wife) | Occupation: Aircraft mechanic | Source of Data: Patient | HISTORY Reason for Seeking Care/Presenting Problem Cirrhosis Congestive Heart Failure Coronary Heart Disease Diverticular Disease Depression Diabetes, Type 1 x Diabetes, Type 2 Emphysema Glaucoma Gout Hemophilia Hernia Hypertension Irritable Bowel Syndrome Multiple Sclerosis Osteoporosis Parkinson’s Disease Psoriasis Renal Failure Seizure Disorder Thyroid Disease Venous Insufficiency Vision Disturbance Female: Dysfunctional Uterine Bleeding Other (describe):asthma Fibrocystic Breast Disease Premenstrual Syndrome Male: Prostate Disease Current medications (include prescription, over-the-counter, herbs, and vitamins): Name of Drug | Dosage/Frequency | Last Dose Taken | Reason for Taking | Ventolin INH | 2 puffs PRN | 3 years ago | Asthma | Metformin | 500 mg PO BID | 11/8/13 started on 10/28/13 | Diabetes T 2 | Multivitamin | 1 tab PO daily | 11/8/13 | Supplement | | | | | Allergies to Medication/Foods/Medical Products/Other (e.g., latex, contrast, tape): Allergic To | Type of Reaction | PCN | Hives, difficulty breathing | | | | | | | Current medical treatments (e.g., breathing...

Words: 2842 - Pages: 12

Free Essay

Comphrensive Phsical Assessment

...Running head: COMPRHRENSIVE PHYSICAL ASSESSMENT Linda McGoff Indiana Wesleyan University NUR 334: Comprehensive Physical Assessment of the Well Adult Facilitator: Tracy Kastenhuber October 31, 2011 Plagiarism Policy Interview for Health History Guidelines Student: Linda McGoff Core Group: RNBO142 Date: 10/15/2011 Initials of Client: MEV Sex: Female Age: 79 CONFIDENTIALITY OF IDENTIFICATION OF CLIENT Present Health Status: Fair Current medications and/or herbs: Synthroid 125mcg qd Cytomel 25mg BID Neurotin 300mg TID Plavix 75mg qd Voltaren 75mg BID Nexium 40mg qd Naproxen 500mg BID Xanax 0.25mg BID Botox 2000 U given in different areas in the neck Current treatments: Treatment for hypothyroidism, hyperlipidemia, GERD, osteoarthritis, anxiety and cervical dystonia Allergies: Allergic to Morphine Sulfate - vomiting History of Present Illness (if applicable): Left knee pain which is causing difficulty with ambulation & Cervical dystonia aka spasmodic torticollis causing head tilting, neck pain, and neck muscle spasms Location – Left knee and neck Character or quality – Left knee pain is described as sharp, grinding sensation with ambulation, reported considerable swelling prior to starting Voltaren medication. Neck has sensation of spasms and involuntary head tilting or movements Severity-Yes, debilitating Aggravating or relieving factors: Ambulation causes increase in pain...

Words: 4211 - Pages: 17

Free Essay

Myzhl

...PATIENT ASSESSMENT PROCESS * Scene size-up * Initial assessment * Focused history and physical exam * Detailed physical exam * Ongoing assessment A. SCENE SIZE-UP - how you prepare for a specific situation - includes dispatch information and must be combined with inspection of scene Helps identify: scene hazards, safety concerns, MOI, NOI and number of patients you may have, as well as additional resources BODY SUBSTANCE ISOLATION - Assumes all body fluids present a possible risk for infection Personal Protective Equipment (PPE) - Latex or vinyl gloves, Eye protection, Mask, Gown * Reduces your personal risk for injury or illness SCENE SAFETY Information provided by dispatch may help in determining potential hazards Potential Hazards - Oncoming traffic, Unstable surfaces, Leaking gasoline, Downed electrical lines, Potential for violence, Fire or smoke, Hazardous materials, Other dangers at crash or rescue scenes, Crime scenes Scene Safety 1. Park in a safe area - allows rapid access to your patient and your equipment (infront of the scene) 2. Speak with law enforcement first - ask to accompany you if the victim is a suspect in a crime 3. Do not enter until a professional rescuer has made the scene safe - Carefully evaluate scene & request specific help to manage the scene threats Professional Rescuer: law enforcement, firefighters, utility workers, hazardous materials crew * Remember that hazards do not need to be dramatic situations...

Words: 2639 - Pages: 11

Free Essay

Initial Post

...Assignment: Assessment 1 M, L Health Care Provider: A P Sex: M Weight: 255 lbs 12 oz Code Status: 02 Isolation: 00 Food Allergies: 00 Diet: 01 Hospital Floor: Age: 62 Y Height: 6' Alerts: 00 Drug Allergies: 00 Env. Allergies: 00 BMI: 34.7 Medical-Surgical Student: Marlen Flores Assignment: Assessment 1 Submitted: 02/16/2016 15:49 Clinical Assignment Grading Assignment Objectives No assignment objectives entered. Clinical Set-up Details First Day of Clinical: 02/10/2016 Primary Diagnosis: Chronic obstructive pulmonary disease (COPD) Provider Name: P, A Secondary Diagnosis: Student Details: Patient Details: First Initial: M Identifier 1: L Last Name: Flores Identifier 2: M Credentials: SNPC Gender: M Age: 62 Years Pre-Clinical Manager Patient Info Identifier: M, L Gender: M Age: 62 Y Nurse Initials: M Flores, SNPC Diagnosis (1) Primary Diagnosis: Chronic obstructive pulmonary disease (COPD) Patho-Physiology: A progressive disease that is associated with difficulty breathing due to severe injuries to the pulmonary alveoli. The cause of this disease is the continuous exposure to cigarette smoke either actively or passively, and contaminated environments which reduces the shortness of breath and chest tightness. COPD may appear as two distinct disorders: emphysema and chronic bronchitis. Emphysema is the broadening of the alveoli and the destruction...

Words: 4495 - Pages: 18

Free Essay

Researchers Investigate Impact of Stress on Police Officers' Physical and Mental Health

...clinical examination involves questionnaires on lifestyle and psychological factors such as depression and PTSD, in addition to measures of bone density and body composition, ultrasounds of brachial and carotid arteries, salivary cortisol samples and blood samples. The officers also wear a small electronic device to measure the quantity and quality of sleep throughout a typical police shift cycle. Results from Violanti's pilot studies have shown, among other findings, that officers over age 40 had a higher 10-year risk of a coronary event compared to average national standards; 72 percent of female officers and 43 percent of male officers, had higher-than-recommended cholesterol levels; and police officers as a group had higher-than-average pulse rates and diastolic blood pressure. The investigation's two most recent studies report on the effect of shift work on stress and suicide risk in police officers, and on male/female differences in stress and possible signs of cardiovascular disease. Results of the shift work pilot study, involving 115 randomly selected officers, showed that suicidal thoughts were higher in women working the day shift, and in men working the afternoon/night shifts. The findings appear online in the October issue of the American Journal of Industrial Medicine. Data showed that 23 percent of male and 25 percent of female officers reported more suicidal thoughts than the general population (13.5 percent). In a previous study, suicide rates were three times...

Words: 431 - Pages: 2

Free Essay

Gnt 1

...major issues with her vitals, especially her blood pressure. I would also ask lab to get stat labs for the patient with an order from the attending physician. Labs would include, stat CBC, CMP, and ABG's. The CBC would help to determine if she's having any bleeding, anemic, or having an infection. The CMP would help to determine if there's an electrolyte imbalance. The ABG's would help to determine if she's having a respiratory or a metabolic reaction, and if she's acidic or alkalitic. ABG results will also help in assessing to see if Mrs. Baker is having a compensatory reaction due to her abnormal blood sugar/ history of diabetes. After the labs are taken I would put Mrs. Baker on 2 liters of oxygen via nasal cannula and a continuous pulse oximeter to continuously assess her oxygen saturation. Next, I would get an order for a stat EKG to check her heart rhythm and rate. This would help determine if...

Words: 1061 - Pages: 5

Free Essay

Nursing Assessment

...landmarks present; no perforations present, Responds appropriately to conversation, Whispered words heard bilaterally. Nose, Mouth, Throat: No flaring of nares, septum midline, patent bilaterally, mucosa pink and moist, or discharge; no frontal or maxillary sinus tenderness with palpation. Buccal mucosa pink and moist, no lesions, 32 teeth in good condition, gums look pink with margins at the teeth tight and well defined, no movement; tongue midline, no lesions; uvula midline with soft palate elevation, tonsils removed as a child; gag reflex intact. Neck: Trachea midline, no tracheal tug, thyroid and cartilages move with swallowing, thyroid lateral borders non-palpable, no enlargement or nodules noted, lymph nodes non-palpable, carotid pulse palpable with no carotid bruits; full range of motion and appropriate...

Words: 363 - Pages: 2

Free Essay

Individual Case Study

...Individual Case Study Database Patient Profile D.K. is 78 year old female who is quite pleasant. D.K. was admitted into Healthsouth on November 3, 2008. D.K.’s admitting diagnoses are Debility, Rheumatoid Arthritis, Triple Arthrodesis on the right hind foot, GERD, Constipation, Hypertension, and Osteoporosis. I was the student nurse assigned to care for D.K. on clinical day November 10, 2008. Communication D.K.’s primary language is English, her speech is within normal limits and she had no difficulty communicating. The therapeutic communication techniques I used in communicating with the client were touch, eye contact, and open ended questions. The touch communication technique was very effective because it showed the client compassion towards the vulnerability the client was experiencing in the hospital. The client had excoriated skin located on her pubis, the primary nurse wanted the client to leave her undergarments off in order to let the skin to heal through air. The client was extremely vulnerable and a simple touch to the client’s hand gave the client a sense of compassion. I also used eye contact, maintaining eye-contact during conversation shows respect and willingness to listen. (Potter, P.A. & Perry, A.G., 2009, p. 345). This technique gave the client a feeling of comfort that someone was listening to her which prompted the to client open up and spoke to me about her life and her family. Using eye-contact with the client gave her a sense of trust in sharing...

Words: 2275 - Pages: 10

Free Essay

Holistic Health

...Holistic Health Assessment: SOAP Paper Roxie Butterfield University of Texas at Arlington Assessment of BB BB appears to be a healthy 63 year old male. He is neatly groomed and dressed. He is 5”10 and weighs 220 lbs. His BMI is 29.04. Subjective Data Skin, hair, and nails: BB states he has no skin rashes or lesions. He does, however, state that he has very dry skin. Patient states that he has no bruising, swelling, or pigmentation problems. His main concern today is a large raised mole on his shoulder. C: light brown dry raised mole. “I think about 1/2” in length.” O: “It has been there for a long time.” L: “It is on my right shoulder, you can't miss it. I don't have anything like it on my body.” D: “It doesn't go away and I haven't noticed that it has changed in size or color.” S: “It doesn't really bother me but I have heard I should have it check out.” P: “There isn't anything that makes it feel better or worse, because it doesn't hurt at all.” A: “I am afraid that I might scrape it when I am putting my shirt on and off. It bothers my wife more than it does me.” BB denies having any other moles that he is concerned with. BB states that he hasn't had any other skin issues such as itching, pain, tingling or redness. BB does think that his skin is somewhat dry. BB states that he has had no skin problems other than a sunburn once...

Words: 10563 - Pages: 43

Premium Essay

Gym Assignment

...Period 1: Reflection Assignment In my first year of high school, I realized that fitness is a major part of developing into a healthy and smart individual. Although many people may not value the lessons the physical education has to offer, I have realized the following benefits of exercising on a daily basis; I am less sluggish in the morning, I am more disciplined, I can think quickly on my feet, and I am physically and mentally stronger. Through high school, I realized that the benefits of fitness, methods of training, and maintaining a good heart rate/pulse is a major part of being successful. The benefits of fitness are truly amazing. I have been either underweight or obese my whole life, until now. I may still be a bit unbalanced in the way I maintain my health, but at least now I exercise on a daily basis in order to maintain my weight and keep healthy. Another benefit of fitness is that it helped my cholesterol decrease. I have always had high cholesterol until I started my daily exercises in high school. Now I maintain what I eat. Lastly, the biggest benefit of fitness, in my opinion, is that I have fun. Before, I'd stay home all day and play games on the computer, which contributed to my obesity. But after working out daily, I have more fun with my friends and I have discovered myself in a healthy way. Methods of training is another major factor of growing into a disciplined young adult. Learning how to mentor, or "spot", someone has taught me how to be a leader and...

Words: 587 - Pages: 3

Free Essay

Physical Assessment Narrative

...Client is Ox3, LOC is alert, shows PERRLA, and EOMS intact in all fields. Glascow Coma Scale assessed to be a perfect 15. Client grips are 5/5 (B) in hands and feet. Homans sign neg, and no bruising, scars, lesions, ulcers, edema noted. Skin is warm and dry and mucous membranes appear pink and moist. Client has intermittent IV in left antecubital region with no fluid intake and client asked if he had anything to drink within last couple hours and he states “I’ve had a 12oz coke” (I said mL in video and meant to say Oz). Intake documented to be 360mL. Client voids using BSC. 200mL of clear, amber urine present in BSC and documented as output. Radial and pedal pulses are palpated and found to be 2+ (B). Client asked about diet and he states he is on a regular diet. Heart sounds auscultated without extra heart sounds and apical pulse assessed to be 66 regular. Respiration rate of 16 with eupneic pattern. Bowel sounds auscultated to be normoactive in all 4 quads. Lungs clear to auscultation in all 5 fields A-P-L. Client wears no corrected lenses/glasses, or hearing aids and no drainage from eyes or ears are noted. ROM full in all areas and gait appears to be steady. IV site appears clean, dry, and free of infiltration. Client safety is assessed and SR up x3, call light in reach, bed alarm green, bed lowered and locked. – MT, JSSN Things I forgot: - capillary refill and skin turgor. - appearance of abdomen - I didn’t state whether client was on O2 or room air. - chest diameter - speech...

Words: 324 - Pages: 2

Premium Essay

Nrs-434v Health Assessment of Older Adult

...Health History and Examination Student Name: J.M | Date: May 31, 2015 | * Client/Patient Initials: C, M | Sex: F | Age: 63 | Occupation of Client/Patient: Retired Plant Operator | Health History/Review of Systems(Complete and systematic review of systems) | Neurological System:Client testifies that she has suffered migraines since puberty. Denies any head injuries, dizziness or convulsions. Visualized a small essential tremor in bilateral hands. States has some weakness, tingling, and numbness in both lower extremities due to bilateral knee replacements. Denies signs or symptoms of difficulty speaking, or swallowing. States takes Narcotic pain medications for pain management. | Head and Neck:States intermittent migraines. Denies any neck pain. Denies any abnormal lumps or swelling in her neck or head area. Sinus surgery in 1991, without complications. | Eyes:Denies eye pain, excessive tearing or blurred vision of the eyes. Last eye exam was March, 2014 which included glaucoma testing, vision testing. No visible redness of eyes. Client states she is currently wearing progressive lens glasses. States when eyes are occasionally dry she uses artificial tears. | Ears:Denies earache or other ear pain. History of childhood chronic ear infections. No lengthy exposure to loud environmental noises. Denies any vertigo or ear medications. | Nose, Mouth, and Throat: States has had cold sores of the mouth in the past. Denies any nosebleeds. States...

Words: 2107 - Pages: 9