Private Criminal Complaint v. Lancaster City Police Department Re 302 Mental Health Warrant of July 9, 2015

7/25/2019 Private Criminal Complaint v. Lancaster City Police Department Re 302 Mental Health Warrant of July 9, 2015

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Superior Court of PennsylvAppeal Docket Sheet

Docket Number: 1915 MDA 2015

Page 1 of 3

January 20, 2016

CAPTION

Stanley J. Caterbone

and Advanced Media Group v.

Lancaster City Police

Notice of Appeal

Active

Initiating Document:

Case Status:

CASE INFORMATION

Case Processing Status: January 19, 2016 Awaiting Appellant Paperbooks

Journal Number:

CriminalCase Category: Case Type(s): Other

CONSOLIDATED CASES RELATED CASES

Docket No / Reason Type

1561 MDA 2015 Related

Similar Issue(s)

SCHEDULED EVENT

Next Event Type: Appellant Brief Filed Next Event Due Date: February 29, 2016

Next Event Type: Appellant Reproduced Record Filed Next Event Due Date: February 29, 2016

COUNSEL INFORMATION

Appellant Caterbone, Stanley J.

Pro Se: Yes

IFP Status: Pending

Stanley J. CaterbonePro Se:

Address: 1250 Fremont St

Lancaster, PA 17603

Appellee Commonwealth of Pennsylvania

Pro Se: No

IFP Status: No

Stedman, Craig WilliamAttorney:

Address: Lancaster County District Attorney's Office

50 N. Duke Street

Lancaster, PA 17602Phone No: (717) 299-8100 Fax No:

FEE INFORMATION

Fee Dt Fee Name Fee Amt Receipt Dt Receipt No Receipt

10/19/2015 Notice of Appeal 85.50 2015-SPR-M-00101011/02/2015 8

Neither the Appellate Courts nor the Administrative Office of Pennsylvania Courts assumes any liabilityfor inaccurate or delayed data, errors or omissions on the docket sheets.Superior Court1951 v. Lancaster City Police Page 1 of 61 Thursday, February 11, 2016Superior Court 1951 MDA 2015 v. Lanc City Police DeptPage 1 of 61 Thursday, February 11, 2016Superior Court 1915 MDA 2015 v. Lanc City Police Page 1 of 105 Thursday, February 11, 2016


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Page 2 of 3

January 20, 2016

AGENCY/TRIAL COURT INFORMATION

Lancaster County Court of Common PleasCourt Below:

County: Lancaster Division: Lancaster County Criminal DivisionOrder Appealed From: Judicial District: 02September 28, 2015

Documents Received: November 2, 2015 Notice of Appeal Filed: October 19, 2015

Order Type: Order Entered

OTN(s):

CP-36-MD-0001108-2015Lower Ct Docket No(s):

Lower Ct Judge(s): Reinaker, Dennis E.

President Judge

ORIGINAL RECORD CONTENT

Original Record Item Filed Date Content Description

Original Record 3 PartsJanuary 20, 2016

Date of Remand of Record:

BRIEFING SCHEDULE

Appellee

Commonwealth of Pennsylvania

Brief

BRIEFING SCHEDULE

Appellant

Caterbone, Stanley J.

Brief

Filed:Due: February 29, 2016

Reproduced Record

Filed:Due: February 29, 2016

DOCKET ENTRY

Filed Date Docket Entry / Representing Participant Type Filed By

November 2, 2015 Notice of Appeal Docketed


November 5, 2015 Docketing Statement Exited (Criminal)

Middle District Filing Office

November 12, 2015 Docketing Statement Received (Criminal)


November 15, 2015 Application to Proceed In Forma Pauperis


November 25, 2015 Order Denying Application to Proceed In Forma Pauperis

Per Curiam

Comment: Upon consideration of the application of appellant, Stanley J.

Caterbone, for leave to proceed in forma pauperis, the application is hereby

DENIED.

January 19, 2016 Trial Court Record Received

Lancaster County Court of Common

Pleas

January 19, 2016 Trial Court Opinion Received

Lancaster County Court of Common

Pleas



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Page 3 of 3

January 20, 2016



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Superior Court1951 v. Lancaster City Police Page 4 of 61 Thursday, February 11, 2016Superior Court 1951 MDA 2015 v. Lanc City Police DeptPage 4 of 61 Thursday, February 11, 2016Superior Court 1915 MDA 2015 v. Lanc City Police Page 4 of 105 Thursday, February 11, 2016


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Stan J. CaterboneADVANCED MEDIA GROUP

1250 Fremont StreetLancaster, PA 17603

www.amgglobalentetainmentgroup.com

scaterboneli!e.com717"66#"2163

$anuar% 6, 2016

&s. $ac'uel%n P(ursic)*ler+ o( *ourt

Lancaster *ount% *ourt o( *ommon PleasLancaster *ount% *ourt)ouse

50 ort) -u+e Street

Lancaster, PA 17602

e/ &-"110"2015Petition (or e!iew o( Pri!ate *riminal *omplaint, as Plaintiff

&alicious ntent to libel an slaner4 e(amation o( c)aracter

-ear &s. P(ursic),

As per m% !isit to %our o((ice %estera%, attac)e is une'ui!ocal e!ience o(a blatant attac+ on m% person t)roug) t)e use o( a smear campaign intene to

isparage me be(ore t)e (eeral courts, wit) speci(ic regars to t)e Lisa &ic)elleLambert case, in w)ic) am bot) &A an APP8LLA 91:"0255# an 15"3:00

respecti!el%;. For t)e recor, (ile a Pri!ate *riminal *omplaint !. t)e Lancaster*it% Police -epartment, et. al.,. am t)e one tr%ing to press c)arges against t)e

Police, *8 8SA, but o( course t)e smart"ass sta(( in %our o((ice +new t)atall along.

ta+e %ou to ocument no. 000000 9o! #, 2015; w)ic) states

Defendant, an t)en loo+ at ocument no. 000001 9o! 1, 2015;, %ou will seet)at a(ter )a a irect con!ersation wit) t)e *ler+ o( t)e Presient $uge, -ennis

eina+er, t)e


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Pennsylvania Judicial Center

P.O. Box 62435

601 Commonwealth Avenue, Suite 1600

Harrisburg, PA 17106-2435(717) 772-1294

www.pacourts.us/courts/superior-court

oseph D. Seletyn, Esq.

Prothonotary

ennifer Traxler, Esq.

Deputy Prothonotary

Superior Court of PennsylvaniaMiddle District

January 20, 2016

Stanley J. Caterboneand Advanced Media Groupv.Lancaster City Police

In the Superior Court of Pennsylvania

1915 MDA 2015

Trial Court Docket No: CP-36-MD-0001108-2015

ORDER

The trial court record has been filed in this office in the above-captioned matter.

It is your responsibility to review the record inventory list and make sure that the

certified record forwarded to this court contains those documents necessary to the

issues raised on appeal; failure to do so may result in waiver. Pa.R.A.P. 1926,1931 (d);

Bennyhoff v. Pappert,790 A.2d 313 (Pa.Super.2001);Commonwealth v. Wint, 730 A.2d 965

(Pa.Super.1999).

Pursuant to Pa.R.A.P. 2185(a) briefs for the appellant must be filed on or before February 29,2016.

Upon failure to timely file briefs for the appellant, the court will, on its own motion and withoutfurther notice, dismiss the appeal. If the briefs are filed late but before the appeal is dismissedcounsel shall not be permitted to argue but shall be available to answer any questions the courtmay ask.

Pursuant to Pa.R.A.P. 2111(B), copies of the trial court opinion must be appended to

the appellant's brief. Briefs will not be accepted for filing unless you comply with this

request.

Seven (7) copies of briefs, together with four (4) copies of the reproduced record, ifapplicable, must be filed and opposing parties must be served.

If this is a cross appeal, your attention is directed to Pa.R.A.P. 2136 to determine which partyis considered the appellant for the purpose of establishing the briefing schedule.

Per Curiam/af

cc: Craig William Stedman, Esq.



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P.O. Box 62435


Harrisburg, PA 17106-2435(717) 772-1294



Prothonotary


Deputy Prothonotary


January 20, 2016



1915 MDA 2015


ORDER






(Pa.Super.1999).





request.



Per Curiam/af




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File Copy


P.O. Box 62435


Harrisburg, PA 17106-2435(717) 772-1294



Prothonotary


Deputy Prothonotary


January 20, 2016



1915 MDA 2015


ORDER






(Pa.Super.1999).





request.



Per Curiam/af




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AOPC 3008

Rev. 01/20/2016

Instance: 2023292178

Docket No: 1915 MDA 2015

Service List

File Copy

Addressed To: Stanley J. Caterbone1250 Fremont StLancaster, PA 17603

PACFile Registered

Carbon Copied To: Craig William Stedman, Esq.Lancaster County District Attorney's Office50 N. Duke StreetLancaster, PA 17602

PACFile Registered

,



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Stan J. Caterbone

ADVANCED MEDIA GROUP

1250 Fremont Street

Lancaster, PA 17603www.amgglobalentetainmentgroup.com

scaterboneli!e.com717"66#"2163

$anuar% 6, 2016

&s. $ac'uel%n P(ursic)

*ler+ o( *ourtLancaster *ount% *ourt o( *ommon Pleas

Lancaster *ount% *ourt)ouse50 ort) -u+e Street

Lancaster, PA 17602

e/ &-"110"2015Petition (or e!iew o( Pri!ate *riminal *omplaint, as Plaintiff

&alicious ntent to libel an slaner4 e(amation o( c)aracter

-ear &s. P(ursic),

As per m% !isit to %our o((ice %estera%, attac)e is une'ui!ocal e!ience o(

a blatant attac+ on m% person t)roug) t)e use o( a smear campaign intene toisparage me be(ore t)e (eeral courts, wit) speci(ic regars to t)e Lisa &ic)elleLambert case, in w)ic) am bot) &A an APP8LLA 91:"0255# an 15"3:00respecti!el%;. For t)e recor, (ile a Pri!ate *riminal *omplaint !. t)e Lancaster

*it% Police -epartment, et. al.,. am t)e one tr%ing to press c)arges against t)ePolice, *8 8SA, but o( course t)e smart"ass sta(( in %our o((ice +new t)atall along.

ta+e %ou to ocument no. 000000 9o! #, 2015; w)ic) statesDefendant, an t)en loo+ at ocument no. 000001 9o! 1, 2015;, %ou will seet)at a(ter )a a irect con!ersation wit) t)e *ler+ o( t)e Presient $uge, -ennis

eina+er, t)e


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Stanley J. Caterbone, Petitioner

IN THE COURT OF COMMON PLEAS OF LANCASTER COUNTY,

PENNSYLVANIACRIMINAL DIVISION

STANLEY J. CATERBONE : MD-11!-"1# S$%erior Co$rt 1&1# MDA "1#

'(. :

)*ET+ SADLER, Cie, Lana(ter City Polie De%art/ent

LANCASTER C*TY POL*CE DEPARTMENT

DETECT*0E CLAR) BEAR*NER, Lana(ter City Polie De%art/entO22*CER 3*LL*AMS

O22*CER B*NDER4P

STATEMENT OF MATTERS COMPLAINEDORDER DATED NOVEMBER 18, 2015

AND NO3 on ti( "#t 5ay o No'e/ber "1#, Petitioner, Stanley Caterbone, a%%earin6

%ro (e, ereby ($b/it( te STATEMENT O2 MATTERS COMPLA*NED.

Date: No'e/ber "#, "1#7S7 Stanley J. Caterbone

Stanley J. Caterbone, PetitionerPro Se

1"# 2re/ont Street

Lana(ter, PA 189818-99&-"19

(aterbone;li'e.o/


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CONCISE STATEMENT OF MATTERS COMPLAINED

Te Co$rt a5 ile5 an ORDER on te "! t 5ay o Se%te/ber, "1#, te ORDER (tate( te

ollo


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IN THE COURT OF C OMM ON PLEAS OF LANCAS TER COUNTY, PENNSYLVANIA

C R I M I N A L

STANLEY

J

CATERBONE

VS. Nt?

IJiD

379-2007

TONY FREEMAN

NOBLE REAL ESTATE

GREG MILLAN

SHELBY SHEPRO

CENTRAL PENN SERVICES

O R D E R

NDNOW this &day of November, 2007, upon consideration of the Petition

for Review of Private Criminal Complaint and Brief in Support thereof, and it appearing that

the D istrict Attorney's refusa l to approve the private comp laint due to insufficient evidence ',

obligates the Court to conduct a de novo review to determine whether the comp laint

establishes a prima facie case, see, Michaels

v.

Barrasse, 681 A.2d 1362

Pa.

Super. 1996),

and In re Private Criminal Compl. O f Wilson 11, 879 A.2d 199 (Pa. Super. 2005), the

Com monwealth s therefore directed to file an answer to the Petition with sufficient specificity

to identify

the

information relied upon and lo explain the Commonwealth's decision to

disapprove the filing o f Petitioner's private criminal comp laint.

certify this document to be filed

BY THE COURT:

i~ he

iancaster County Office

of

LOUIS

J.FARINA

the Clerk

of

the

Caurts.

PRES.JUDGE

LOUIS

J

FARINA

PiiESi ENT

JUDGE

'Chief County D etective Landis, who reported the District Attorney's position by letter

dated kove rn~ er2 ,200 7,:ated

Car

investigation fsiied to find any criminal intent on the p ar i

of the defendants. . .

MD-1108-2015 Page 3 of 4 Wednesday, November 25, 2015



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MD-1108-2015 Page 4 of 4 Wednesday, November 25, 2015



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Stanley J. Caterbone, Petitioner



STANLEY J. CATERBONE : Docket No. __________

!. :

"#ET$ SADLER, C%ie&, Lanca!ter City Police De'art(entLANCASTER C#TY POL#CE DEPART)ENTDETECT#*E CLAR" BEAR#N+ER, Lanca!ter City Police De'art(entO#CER -#LL#A)SO#CER B#NDERP

ORDER

AND NO-, t%i! __________ /ay o&___________ , 0123, t%e Aboe na(e/ De&en/ant!,

in 'art or in 4%ole, !%all be i!!5e/ citation! &or iolatin6 27 Pa. C.S.A. 89 012

"#DNAPP#N+ ; an/ 89


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STANLEY J. CATERBONE : Docket No. __________

!. :

KIETH SADLER, C%ie&, Lanca!ter City Police De'art(entLANCASTER CITY POLICE DEPARTMENTDETECTIVE CLARK BEARINGER, Lanca!ter City Police De'art(entOFFICER WILLIAMSOFFICER BINDERUP

PETITION FOR REVIEW OF PRIVATE CRIMINAL COMPLAINT

TO T$E $ONORABLE, T$E JD+ES O T$E SA#D CORT:

Petitioner, Stanley Caterbone, %ereby 'etition! t%e co5rt &or t%e reie4 o& t%e/eci!ion i!!5e/ by C%ie& Co5nty Detectie )ic%ael Lan/i!, O&&ice o& t%e Attorney &or t%e

Co((on4ealt% i!!5e/ on A565!t =02>1

Pa.R.Cri(.P. 2 @27. -%en t%e/i!trict attorney

re!t! t%e /i!a''roal o& a 'riate cri(inal co('laint on 4%olly /i!cretionary (atter! o& 'olicy, t%i!

Co5rt 4ill not /i!t5rb t%at /eter(ination, ab!ent a 6ro!! ab5!e o& /i!cretion. Co((on4ealt% .

Pritc%ar/,17 Pa. S5'er. 002, 3> A.0/ 70F @22. See al!o #n Re -oo/, F n.. T%e !'ecial /e&erence e?ten/e/ to

a 'olicy /eci!ion not to 'ro!ec5te ari!e! &ro( t%e /e&erence accor/e/ t%e /i!cretionary 5!e o&

e?ec5tie 'o4er! con&erre/ in t%e /i!trict attorney. #/. T%e 'o4er to a''roe or /i!a''roe

'riate cri(inal co('laint! 6rante/ 5n/er Pa.R.Cri(.P. 2>1 @2F3. T%e

reH5ire(ent! &or t%e i!!5ance o& 'roce!! '5r!5ant to a cri(inal co('laint are 'roi/e/ in

3 of 9 Thursday, September 24, 2015Superior Court1951 v. Lancaster City Police Page 27 of 61 Thursday, February 11, 2016Superior Court 1951 MDA 2015 v. Lanc City Police DeptPage 27 of 61 Thursday, February 11, 2016Superior Court 1915 MDA 2015 v. Lanc City Police Page 27 of 105 Thursday, February 11, 2016


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Pa.R.Cri(.P. 2


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roo( &or not bein6 able to breat%.

E. A**#7 #"! B#)5 " $4:!"% #" )":4"/)" (4 63)/6#* 4 ;) 7*)!

#%#"* /), *763 #* 6344(4/ 4 *4/)3"% */#.

2. Petitioner 4a! na(e/ t%e )O*AN in t%e Li!a )ic%elle La(bert $abe5! Cor'5! Ca!e o& 012

on J5ne 03, 0123 in t%e .S. Di!trict Co5rt &or Ea!tern Penn!ylania Ca!e No. 2=1033.

0. Petitioner %a! been &or(erly an/ o&&icially (akin6 co('laint! &or co('5ter %ackin6,

%ara!!(ent, t%reat! to 'er!on an/ 'ro'erty, etc., to t%e Lanca!ter City Police, t%e

Lanca!ter Co5nty Di!trict AttorneyK! O&&ice, t%e Penn!ylania Attorney +eneralK! O&&ice, an/

t%e B# in $arri!b5r6 'rior to J5ly , 0123.

=>31, 13=0077 an/ !tate @17=2


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initiate/ by Lanca!ter Ne4!'a'er! re'orter T%o(a! lannary.

20.T%o(a! lannaryK! (y!terio5! /eat% in ebr5ary o& 011 4a! eit%er (5r/er by 'oi!on or

4a! a coer !tory to %i/e t%e &act t%at %e 4a! a C#A o'eratie 5!e/ to control t%e &lo4 o&

in&or(ation, /i!in&or(ation, an/ 'ro'a6an/a. #t i! %i6%ly !5bect t%at %e be6an %i! career

4it% Lanca!ter Ne4!'a'er! in 27F an/ i! not a natie Lanca!trian.

2


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@a Per!on! S5bect. == -%eneer a 'er!on i! !eerely (entally ill an/ in nee/ o&

i((e/iate treat(ent, %e (ay be (a/e !5bect to inol5ntary e(er6ency

e?a(ination an/ treat(ent. A 'er!on i! !eerely (entally /i!able/ 4%en, a! a re!5lt

o& (ental illne!!, %i! ca'acity to e?erci!e !el&=control, 5/6(ent an/ /i!cretion in

t%e con/5ct o& %i! a&&air! an/ !ocial relation! or to care &or %i! o4n 'er!onal nee/! i!

!o le!!ene/ t%at %e 'o!e! a clear an/ 're!ent /an6er o& %ar( to ot%er! or to

%i(!el&.

0.Petitioner /i/ i((e/iately 6o /irectly to %i! &ront be/roo( on t%e !econ/ &loor an/ trie/

/e!'erately to co((5nicate 4it% t%e De&en/antK! an/ talk t%e( /o4n an/ /i/ 4arn t%e

De&en/antK! o& %i! le6al an/ ciil ri6%t!.

0F.Petitioner /i/ al!o (ake /eclaratory !tate(ent! t%at t%e a!!a5lt 4a! retaliatory &or t%e

PetitionerK! actie role in t%e Li!a )ic%elle La(bert Ca!e.

07.Petitioner /i/ t%ro4 o5t %i! 4in/o4 to De&en/ant! to rea/ %i! IPre!! Relea!e &or t%e

Or6anie/ Stalkin6 Bill containin6 t%e /ocket to 'roe %i! bein6 na(e/ a! )O*ANT by t%e

Co5rt! in t%e Li!a )ic%elle La(bert Ca!e.

0.De&en/antK! /i/ ille6ally an/ reckle!!ly break t%e PetitionerK! /oor /o4n, '%y!ically a!!a5lt

t%e Petitioner an/ en6a6e in an act o& "#DNAPP#N+ in re(oin6 Petitioner &ro( %i! locke/

re!i/ence.


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%ae concl5/e/ t%e

&ollo4in6: IEen t%e 'robability o& 5n&airne!! can re!5lt in a /e&en/ant bein6 /e'rie/ o&

%i! /5e 'roce!! ri6%t!.

=02>1

_____________________________

Date: Se'te(ber 0>=02>1

Patient became very paranoid of nurse and said she had purposely given him a cold room, that shewas a liar. He stated he would sue the hospital "back to the courts" and demanded this writer writedown the number of the court case he had against LGH from the past.Patient believes the police and FBI are hacking his computerPatient lives with his brother and doesn't drink alcohol or use drugsHe denies he has been hospitalized since 2010 at Fairmount. He is requesting to return to Fairmoun

General Appearance and Behavior:

Appearance/Behavior:AgitatedEye Contact: Good

Appetite: no change from normalSleep: no change

Thought Processing and Cognitive Evaluation:Orientation: Time, Place, Person, Name and Situation

Attention & Concentration: WNLMood: Hostile

Affect:Appropriate

Speech: Rate: normal Volume: normal Coherence: goodThought Process: Logical:noThought Association: Tangential

Abnormal Thought Content:Suicidal thoughts: noHomicidal thoughts: noHallucinations: noDelusions: yes

Printed on 7/28/2015 11:44 AM Page

Superior Court 1915 MDA 2015 v. Lanc City Police Page 87 of 105 Thursday, February 11, 2016


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LANCASTER GENERAL HOSPITALHealth Information Management555 North Duke StreetLancaster PA 17604-3555ED Record

CATERBONE,STANLEY JMRN: 0542297DOB: 7/15/1958, Sex: M

Adm: 7/10/2015, D/C: 7/11/2015

ED Notes (continued)

Insight: poorJudgment: poor

Substance Use:Alcohol use: no Type: Amount/Frequency: Last use: History of withdrawal symptoms:

Use of other substances: no

Type/Route: Amount/Frequency: Last use: History of withdrawal symptoms:

History of Treatment for Substance Use: no

Past Psychiatric History and Current Treatment:Inpatient history: yesOutpatient services: no Psychiatrist:

Therapist: Case Management: Other Services:Medication and treatment compliance: n/aHistory of Suicide Attempts: noFamily history of suicide: no

Acts of Self Harm: noActs of Violence: no

Social, Family and Developmental History:

Current relationships/support system: brotherLiving situation: with brotherEducation:Employment: noLegal history and current charges, probation/parole: noCustody status/Child Service Involvement: no

Abuse/Trauma: no




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Adm: 7/10/2015, D/C: 7/11/2015


Functional Status:Independent for ambulation: yesIndependent in performing ADLs: yesSpecial equipment/environmental needs: noLanguage and Cultural Needs: no

Clinical Impression:psychosis

Plan for Disposition:Commitment Status: 302Physician recommendation: admit Psychiatrist is okay with patient request to transfer to Fairmount

Signed by Huehnergarth, Gretchen A, RN on 7/10/2015 10:05 PM

ED Notes by Huehnergarth, Gretchen A, RN at 7/10/2015 8:32 PM Version 1 of

Author: Huehnergarth, Gretchen A,RN

Service: (none) Author Type: Registered Nurse

Filed: 7/10/2015 8:52 PM Note Time: 7/10/2015 8:32 PM Status: SignedEditor: Huehnergarth, Gretchen A, RN (Registered Nurse)Related Notes: Addendum by Huehnergarth, Gretchen A, RN (Registered Nurse) filed at 7/10/2015 10:05 PM

Arrival Status:

Police on 302 petitioned by Lancaster Detective

Chief Complaint:Patient was sending paranoid and harrassing emails to local detective(enclosed copies in 302)

History of Present Illness:Patient denies he is suicidal or homicidal or psychotic. He denies he is paranoid and is invested inaseries of paranoid delusions regarding the government and FBIPatients petitioner is a local Detective who states that patient has sent him over 100 emails since midJune 2015, and to other police. He states the emails are more antagonistic One of them stating "Wh

are you trying to kill me" the petitioner states that patients behavior is becoming alarming and that hefears patient will reach the paranoid state of 201 when he stateded cops should be beaten and killedTo this writers knowledge patient has never been violentPatient told this writer a lengthy statement of his making a legal petition in the case of MichelleLambert (convicted Lancaster murderer from 1990's), patient states he met with the attorney generalrecently about this case and that he also drove to the office of Mike Sturla in Harrisburg.Patient became very paranoid of nurse and said she had purposely given him a cold room, that shewas a liar. He stated he would sue the hospital "back to the courts" and demanded this writer writedown the number of the court case he had against LGH from the past.




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Adm: 7/10/2015, D/C: 7/11/2015


Patient believes the police and FBI are hacking his computerPatient lives with his brother and doesn't drink alcohol or use drugsHe denies he has been hospitalized since 2010 at Fairmount. He is requesting to return to Fairmoun

General Appearance and Behavior:Appearance/Behavior:AgitatedEye Contact: Good

Appetite: no change from normalSleep: no change

Thought Processing and Cognitive Evaluation:Orientation: Time, Place, Person, Name and Situation

Attention & Concentration: WNLMood: Hostile

Affect:AppropriateSpeech: Rate: normal Volume: normal Coherence: goodThought Process: Logical:noThought Association: Tangential

Abnormal Thought Content:

Suicidal thoughts: noHomicidal thoughts: noHallucinations: noDelusions: yes

Insight: poorJudgment: poor

Substance Use:Alcohol use: no

Type: Amount/Frequency: Last use: History of withdrawal symptoms:

Use of other substances: no Type/Route: Amount/Frequency: Last use:




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Adm: 7/10/2015, D/C: 7/11/2015


History of withdrawal symptoms:

History of Treatment for Substance Use: no

Past Psychiatric History and Current Treatment:Inpatient history: yesOutpatient services: no Psychiatrist: Therapist: Case Management: Other Services:Medication and treatment compliance: n/aHistory of Suicide Attempts: no

Family history of suicide: noActs of Self Harm: noActs of Violence: no

Social, Family and Developmental History:Current relationships/support system: brotherLiving situation: with brotherEducation:Employment: noLegal history and current charges, probation/parole: no

Custody status/Child Service Involvement: noAbuse/Trauma: no

Functional Status:Independent for ambulation: yesIndependent in performing ADLs: yesSpecial equipment/environmental needs: noLanguage and Cultural Needs: no

Clinical Impression:psychosis

Plan for Disposition:Commitment Status: 302Physician recommendation: admit Psychiatrist is okay with patient request to transfer to Fairmount






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Adm: 7/10/2015, D/C: 7/11/2015



Author: Huehnergarth, Gretchen A,

RN


Filed: 7/10/2015 10:28 PM Note Time: 7/10/2015 10:26 PM Status: SignedEditor: Huehnergarth, Gretchen A, RN (Registered Nurse)

Insurance

Insurance Company :humanaMH Managed by : lifesyncPhone Number :8665500027Staff talked with :heather H

Authorization # :noneDates Authorized :7/10-7/13 review 7/13Other Information :






Patient requested and was given copy of 302






Patient declined any anxiolytic or antipsychoticSigned by Huehnergarth, Gretchen A, RN on 7/10/2015 10:37 PM

ED Orders

Start Status Ordering Provider 07/10/15

1939Final result MCINTYRE, DANIEL

07/10/151939

Final result MCINTYRE, DANIEL


Toxic Screen, Urine, No Confirmation ONE TIME

Alcohol, Serum ONE TIME



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Adm: 7/10/2015, D/C: 7/11/2015

ED Orders

Start Status Ordering Provider

07/10/151939


07/10/151939


07/10/151830

Last MAR action:Given - byHUEHNERGARTH,GRETCHEN A on07/10/15 at 1954

MCINTYRE, DANIEL

07/10/151750


Lab Results (07/10/15 - 07/10/15)

CBC (For Transfers Only) [110835910] (Abnormal)Resulted: 07/10/15 2010, Result Status: Fin

res

Ordering provider: McIntyre, Daniel, MD 07/10/15 1938 Resulting Lab: LANCASTER GENERALLABORATORY

Basic Metabolic Panel (BMP) (For Transfers Only) [110835909](Abnormal)

Resulted: 07/10/15 2034, Result Status: Finres



07/10/15 1948

Comment: For Transfers Only.

XR SHOULDER RIGHT MIN 2 VW ONE TIME

Components

Value Ref Range Flag Comment LabWBC Count 11.4 4.8 - 10.8 K H - LG

LABRBC Count 5.12 4.60 - 6.20 M - LGLAB

Hgb 14.7 14.0 - 18.0 g/dL - LGLAB

Hct 42.5 42.0 - 52.0 % - LGLAB

MCV 83.0 80.0 - 100.0 fL - LGLAB

MCH 28.7 27.0 - 33.0 pg - LGLAB

MCHC 34.6 32.0 - 36.0 % - LGLAB

Platelet Count 203 150 - 450 K - LGLAB

RDW 14.4 12.2 - 14.6 % - LGLAB

Basic Metabolic Panel (BMP) (For Transfers Only)ONE TIME

CBC (For Transfers Only) ONE TIME

ibuprofen (ADVIL,MOTRIN) tablet 600 mg ONCE

Comments: For Transfers Only.

Comments: For Transfers Only.

Specimen Collection

Specimen Collection

Type Source Collected On07/10/15 1948

Type Source Collected On



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Lab Results (07/10/15 - 07/10/15) (continued)

Basic Metabolic Panel (BMP) (For Transfers Only) [110835909](Abnormal)

Resulted: 07/10/15 2034, Result Status: Finres

Alcohol, Serum [110835908]Resulted: 07/10/15 2037, Result Status: Fin

res

Ordering provider: McIntyre, Daniel, MD 07/10/15 1938 Resulting Lab: LANCASTER GENERAL

LABORATORY


16 8 - 22 mg/dL - LGLAB

Sodium 137 135 - 145mmol/L

- LGLAB

Potassium 4.1 3.4 - 5.3 mmol/L - LGLAB

Chloride 105 98 - 107 mmol/L - LG

LABCO2 Venous 28.0 21.0 - 31.0

mmol/L- LG

LABAnion Gap 4 5 - 15 mmol/L L - LG

LABCreatinine 0.8 0.7 - 1.2 mg/dL - LG

LABBUN/CreatinineRatio

20 10 - 20 Ratio - LGLAB

OsmolalityCalculation(serum)

275 275 - 300mOsm/Kg

- LGLAB

Calcium 9.7 8.6 - 10.3 mg/dL - LG

LABGFR >60 mL/min/1.73sqm

LGLAB

Comment: Notes for GFR:1. Multiply result by 1.21 if patient is black/African American.2. Chronic kidney disease:


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Lab Results (07/10/15 - 07/10/15) (continued)

Alcohol, Serum [110835908]Resulted: 07/10/15 2037, Result Status: Fin

res

Toxic Screen, Urine, No Confirmation [110835906]Resulted: 07/10/15 2301, Result Status: Fin

res



Collected On07/10/15 2149

Components

Value Ref Range Flag Comment LabUrineAmphetamineScreen

NONE DETECTED None Detected - LGLAB

Urine BarbiturateScreen


UrineBenzodiazepineScreen


Urine CocaineMetabolite Screen


Urine MarijuanaScreen


Urine Opiate

Screen

See Below None Detected LG

LABComment: NONE DETECTED -

Hydrocodone and Methadone are not routinelydetected by the LGH Urine Toxic Screen. These drugsmust be ordered specifically.

UR OxycodoneScreen


UrinePCP(Phencyclidine) Screen

NONE DETECTED None Detected LGLAB

Comment: Unconfirmed screening results MUST NOT be used fornon-medical purposes: (eg. employment testing, legal testing)

CUT OFF CONCENTRATION FOR POSITIVE RESULTS: Amphetamines = 1000 ng/mL Barbiturates = 200 ng/mL Benzodiazepine = 200 ng/mL Cocaine = 300 ng/mL Opiates = 300 ng/mL Oxycodone = 100 ng/mL Phencyclidine = 25 ng/mL THC = 50 ng/mL

Concentrations above 400 mg/dL may be fatal.

Specimen Collection

Type Source



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All Administrations of ibuprofen (ADVIL,MOTRIN) tablet 600 mg

ED Current OP Medications

Medication Sig Dispense Start Date End Date Doc. Provider NAPROXEN 500 MG ORAL TABS 1 TABLET

TWICE DAILYas needed forpain

60 9/23/2009 Sullivan, Brian P,MD

VICODIN ES 7.5-750 MG ORALTABS

1/2 to 1 tabletevery 6 hoursas needed forpain

30 tablet 5/10/2010 Sullivan, Brian P,MD

Medications not reviewed this encounter

Medication Comments

** No Medication Comments Found **

Allergies (verified on: 05/25/10)Agent Severity CommentsNO KNOWN ALLERGIES

Follow-up Information

None

Vitals from to

Date and Time BPPosition Pulse Resp Temp

Tempsrc SpO2

OxygenTherapyFlow(L/min)

Weight

Doppler/Fetoscope Rate

POCTCarboxyhemoglobin

Who

07/10/15 1750 132/74mmHg

-- 82 20 98 F(36.7C)

Oral -- -- -- -- -- GAH

Flowsheets (all recorded)


AmbulanceArrived

Yes-TMYARNIS

Transfer Charting - Sat July 11, 2015

Transfer Checklist - Sat July 11, 2015

0043Transfer Checklist

Report toTransfer Team

Yes-TMYARNIS

0043Transport Request



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Flowsheets (all recorded)


MAR MINI-FLOWSHEET DATA - Fri July 10, 2015

Custom Formula Data - Fri July 10, 2015

1750OTHER

Mean ArterialPressure

93 MM HG-GAHUEHNE

1954 1817

Triage Plan - Fri July 10, 2015

2333Triage Acuity Calculator

IsRESUSCITATI

ON required?

No-TMYARNIS

Is this anEMERGENT(High Risk,

Altered LOC,Severe Pain)situation?

Yes (2)-TMYARNIS

Patient Acuity 2-TMYARNIS

ED Destination Behavioral Health-TMYARNIS

Vital Signs - Fri July 10, 2015

1954 1817 1750

Vital SignsBP 132/74 mmHg-

GAHUEHNE

Pulse 82-GAHUEHNE

Resp 20-GAHUEHNE

Temp 98 F (36.7 C)-GAHUEHNE

Temp src Oral-GAHUEHNE

PainAssessment

0-10-GAHUEHNE

Number Scale

*Pain Rating 4-GAHUEHNE 7-GAHUEHNE

*Pain Location shoulder-GAHUEHNE

PainDescription -Quality

aching-GAHUEHNE

*Factors thatAggravate Pain

activity-GAHUEHNE

*Factors thatRelieve Pain

repositioning-GAHUEHNE

Number Scale

Transfer Charting - Fri July 10, 2015

2216

*Pain Rating 4-GAHUEHNE 7-GAHUEHNE



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ETA ofAmbulance

2330-GAHUEHNE

AmbulanceArrived

Yes-GAHUEHNE

Transfer Mode Gurney-GAHUEHNE

Type ofTransfer

BLS/ALS/CCTAmbulance-GAHUEHNE

AccompaniedBy

EMS Personnel-GAHUEHNE

Transport Request

Transfer Checklist - Fri July 10, 2015

2216Transfer Checklist

Reason forTransfer

Patient Request-GAHUEHNE

AcceptingHospital

fairmount-GAHUEHNE

AcceptingPhysician

bridget bautista-GAHUEHNE

SendingPhysician

mcintyre-GAHUEHNE

Report toTransfer Team

Yes-GAHUEHNE

Report toReceivingFacility

Yes-GAHUEHNE

Spoke with tyree-GAHUEHNE

TransferConsentSigned

Yes-GAHUEHNE

Copy ofRecords and DIObtained

Yes-GAHUEHNE

Faxed Recordsto ReceivingFacility

Yes-GAHUEHNE

DispatcherCalled

Yes-GAHUEHNE

Travel Screening - Fri July 10, 2015

1824Travel Screening

Has the patienttraveled to

Africa OR hadcontact withsomeone whohas traveled to

Africa in thelast 21 days?

No-BG017

Name of

Dispatcher

jaimie-GAHUEHNE



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Adm: 7/10/2015, D/C: 7/11/2015

ED After Visit Summary

Diagnoses this visit

Your diagnosis was ACUTE PSYCHOSIS.

You were seen by

You were seen by McIntyre, Daniel, MD.

ED Prescriptions

None

Orders Completed During Your ED Visit

Start Status Ordering Provider 07/10/15

1939Final result MCINTYRE, DANIEL

07/10/151939


07/10/151939


07/10/151939


07/10/151830

Last MAR action:Given

MCINTYRE, DANIEL

07/10/151750


Suture Information from to

None

Printed on 7/28/2015 11:44 AM Page 2

Automaticrestart vitalstimer

YES-GAHUEHNE

Arrival Documentation - Fri July 10, 2015

User Key(r) = User Recd, (t) = User Taken, (c) = Use

Cosigne

Toxic Screen, Urine, No Confirmation ONE TIME

User ID Name Effective DatesBG017

Alcohol, Serum ONE TIME

Groff, Barbara A -

GAHUEHNE Huehnergarth, Gretchen A, RN 03/23/11 -

Basic Metabolic Panel (BMP) (For Transfers Only)ONE TIME

TMYARNIS Yarnish, Theresa M, RN 03/23/11 -

CBC (For Transfers Only) ONE TIME

1749

ibuprofen (ADVIL,MOTRIN) tablet 600 mg ONCE

Triage Start

Triage Start

XR SHOULDER RIGHT MIN 2 VW ONE TIME

Start-GAHUEHNEPrehospital Treatment

PrehospitalTreatment

No-GAHUEHNE

Vitals Reassessment - Fri July 10, 2015

1750Vitals Assessment



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Adm: 7/10/2015, D/C: 7/11/2015

ED After Visit Summary (continued)

Information regarding the care you received at theLancaster General Hospital Emergency Department

You may receive a survey about your emergency department visit.Our goal is for our patients to receive very good care during their ED visit.Please take a moment to complete a survey if you receive one so we may continue to improve.

The examination and treatment you have received in the Emergency Department have been rendered on aemergency basis only, and are not intended to be a substitute for or an effort to provide complete medicalcare. Your primary care physician may request a copy of your records and all test results. It is important thayou let him/her check you again, and that you report any new or remaining problems.

XRAYS/EKGSThe interpretation of EKG'S and/or x-rays at the time of the emergency visit may only be a preliminary repor

You will be notified by telephone if there is a change in the interpretation when the tests are reviewed by thecardiologist and/or radiologist.

MEDICATIONS/PRESCRIPTIONSTake all medication as prescribed by the physician.

FAMILY PHYSICIAN If you are being referred to your own Primary Care Physician for follow up and do not have one, please cathe Physician Referral Line at 1-888-LGH-INFO (1-888-544-4636) and you will be assisted in locating aPrimary Care Physician.

REFERRAL TO SPECIALISTIf you are being referred to any doctor/specialist other than your own Primary Care Physician: Please contayour doctor for a referralandany paperwork or referral forms that may be required. If you have anyquestions about whether you need such forms, contact your insurance company ordoctor's office as soon apossible.

The staff of the Lancaster General Hospital Emergency Department and Trauma Services strives to ensurequality care and customer service during your visit.Your Current Condition does not require hospitalization. Your condition can, however, change. If there areany concerns regarding your condition, you may return to the Emergency Department or contact yourPrimary Physician.

The Emergency Physicians of Lancaster Emergency Associates (LEA) are the exclusive providers ofEmergency Medical care at Lancaster General Hospital. We appreciate any comments or feedback you mahave on your experience with us in the Emergency Department and invite you to visit us atwww.LancasterEmergencyAssociates.com

We constantly are looking for ways to improve your Emergency Department Experience.If you have any suggestions or concerns, please let us know.




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Adm: 7/10/2015, D/C: 7/11/2015

ED After Visit Summary (continued)

You may call any of the following ED Management Team:Jolyne Barnett, RN ED Nurse Manager 717 544-5125

Penne Marino, RN, Days Assistant Nurse Manager 717 544-4582Amy Sechrist, RN Evenings Assistant Nurse Manager 717 544-7055Lisa Williams, RN Nights Assistant Nurse Manager 717 544-1776

Lancaster General Hospital Convenience Pharmacy 717 544-5929Hours of Operation: Monday through Friday 7am- 6pmSaturday 9am- 3pmSunday Closed

Procedures and tests performed during your visit

Alcohol, SerumBasic Metabolic Panel (BMP) (For Transfers Only)

CBC (For Transfers Only)Toxic Screen, Urine, No ConfirmationXR SHOULDER RIGHT MIN 2 VW

Scanned Information

Encounter-Level Documents - 07/10/2015:

Scan on 7/11/2015 8:21 PM (below)




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Scanned Information (continued)

Scan on 7/11/2015 5:38 PM (below)




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Order-Level Documents:

There are no order-level documents.

Code Documentation

No data selected in time range




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Sedation Documentation

No data selected in time range