EFTA00035074.pdf

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

OBSERVATION STARTED: 
PLEASE RETURN LOG TO PSYCHOLOGY AFTER 
THE OBSERVATION HAS ENDED. 
4 
THANK YOU. 
ITEMS ALI.OWED: 
 
Regular Clothes 
Safety Toothbrush 
Newspaper/Magazine 
Books (softcover only) 
Safety Pen and Paper 
Toilet Paper 
, 
Legal Mail 
 
Other 
SW Blanket & SW Mattress must be used even on 
Psych Observations. 
#d If nothing is checked with a silver marker, only a 
Suicide Smock and Suicide Blanket are allowed. 
EFTA00035074


Name of Inmate On Suicide Watch or Psych Observation: 
Registration #: -)3q-O51-i 
EATING/SHOWER CHART 
DATE 
BREAKFAST 
LUNCH 
DINNER 
LIQUIDS
774 
at' 
17 
OFFERED 
SHOWER 
RECEIVED 
SHOWER 
Please check the appropriate box if the person on 
Suicide Watch/Psych Observation actually eats his 
meal. Do not check the box if he just received it, 
but did not eat it. 
Place a check in the "Liquids" box each time the 
person drinks. 
Thank you. 
EFTA00035075


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