EFTA00034424.pdf

Type: pdf
Source set: data-set-8
Extracted text

Suicide Watch 
Chronological 
Log 
Inmate Companions Log 
Name of inmate on watch: 
CCa 
 
Liil 
u) 
145 
fa. 
Ci_ 
Register #: 
LI --tv) 
vi 
143 IS —.OSt
 
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CD 
= 
CU 
CJ 
CU V 
a 
a- -22 :13 IP 
al an3. 
Date Watch Began / Ended 
.4.) iti ri c 
ate. 
r 
d
ia9 n, Zaii,7 - clu11214,2np, ii, v., v) a. v) 
To be completed by Chief Psychologist at conclusion of watch: 
Booklet 
of I 
n 
-C 
a) 
hA 
iz 
CONFIDENTIAL 
SWCL - INMATE 
SDNY_000 10946 
EFTA00034424


STAPLE LOCAL PROCEDURES HERE' 
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: 
-2Z —00 
11 1 00ani 
Instructions to Observer: 
Document your observations every 
minutes. 
Legibly print and sign your name at the beginning of your shift. 
CONFIDENTIAL 
EFTA00034425


PP37 
toot8J 
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/SENTRY/JIPPI60.do 
CONFIDENTIAL 
7/24/2019 
SDNY_00010948 
EFTA00034426


Suicide ilitch Observation Log 
Name.of Ornate 
. , 
an iratchf 
Reg I: 
3/g r:CS±Z.-#ate: 72 
?Pi 
initials 
Time 
Observations: Briefly note your observations. Initial all entries. 
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