EFTA00033875.pdf

Type

pdf

Source set

data-set-8

Original source

Extracted text

Suicide Watch 
Chronological 
Log 
Inmate Companions Log 
Name of inmate on watch: 
C
Ca 
 
A 
v, 
1{15 
fa. 
n  
O 
Register #: 
lai 
Ce 
_ 
-1; 
v, 
143 IS —V S+  
rcia 
▪ 
32 
O 
 
m
▪ 
a
' 
OC
a 
th 
£ 
U 
... 
'• •FP 
La 
O- 
Institution: 
2 
E
 
4-, 
cc 
cp 
cn 
CI s_ 
GC 
 
LI-I v) CO 2 
I-- 
cl) 
= 
CU 
ill 
CU 
C-1 
a 
-'
 .."12 73 -.O 
al 
CL
W
Date Watch Began / Ended 
 
.0 
iC, ri c 
ate. 
5 
r 
d
ieeS n 
Zai ,7 - Nit 21424 
,,, V) v) a 
V) 
To be completed by Chief Psychologist at conclusion of watch: 
Booklet 
of I 
sc 
n 
a) 
bA 
iz
a 
co 
To 
cel 
E 
fo 
O 
LA. 
(i) 
C 
O a 
CONFIDENTIAL 
SWCL - INMATE 
SDNY_00009544 
EFTA00033875


. 
STAPLE LOCAL PROCEDURES HIRE' 
Check one of the following: 
O 
This is the initial log book for this suicide watch. 
Enter date and time watch began: 
This is a continuation log book for this watch. 
Enter date and time this watch book was initiated: 
1
-7,g -0e 11-y) 
Instructions to Observer: 
Document your observations every 
13
minutes. 
Legibly print and sign your name at the beginning of your shift. 
CONFIDENTIAL 
EFTA00033876


PP37 
NYMBJ 
531.01 * 
PAGE 001 OF 001 * 
("N\ 
INMATE HISTORY 
MED DY ST 
REG NO..: 176318-054 NAME 
 EPSTEIN, JEFFREY EDWARD 
CATEGORY: DS 
FUNCTION: DIS 
FORMAT: 
Page I of I 
* , • 
G7-24-2019 
12:32:30 
FCL 
NYM 
ASSIGNMENT DESCRIPTION 
NOT MED CL NOT MEDICALLY CLEARED 
START DATE/TIME STOP DATE/TIME 
07-06-2019 2124 CURRENT
NYM 
SUIC WATCH SUICIDE WATCH 
07-23-2019 0140 07-24-2019 0845 
G0005 
TRANSACTION SUCCESSFULLY COMPLETED - CONTINUE PROCESSING IF DESIRED 
• 
https://bop.tep.doj.gov:9049/SENTRYMPP160.do 
CONFIDENTIAL 
7/24/2019 
SDNY_00009546 
EFTA00033877


Suicide ilitch Observation Log 
Name.of Ornate 
, , 
an iratch: 
Reg I: 
3/g r:CS±Z.Aate: 72 
?Pi 
initials 
Time 
Observations: Briefly note your observations. Initial all entries. 
ark- 
ra€Ceigran
4 A7\  Saii:Mel,k 
s .1 
j. % : ;' 
c
N 
s. 
7i7.ealS77/,S.-
, .exeyie,ea t tli'.,,,240.
: •:. • 
• 
6S-12-
ce--e-er
--0;,, c…

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