EFTA00036598.pdf

Type

pdf

Source set

data-set-8

Original source

Extracted text

BP.A0292 
APR 16 
SPECIAL HOUSING UNIT RECORD 
U.S. DEPARTMENT OF JUSTICE 
FEDERAL BUREAU OF PRISONS 
NEW YORK MCC 
(Institution) 
Inmate Name: EPSTEIN, JEFFREY EDWARD 
Rog. No. 76318.054 
Teamtaseworker 
Regular Unit 5UNT MGR 
Celt 5 
Violation 
Date 
Time 
or Reason: N/A 
Reed: 
N/A 
ReCd:  
NA
Admittance 
Date 
Time 
N/A 
N/A 
N/A 
Authorized: 
 
Rel.:  
 Rel: 
Pertinent Information:  NIA 
Separation Information: NIA 
Special Housing Unit Cell Number: Z04.206LAD 
Inmate Is In: 
Is Inmate on Medication: 
NIA
Date 
Shift 
Meals 
SH 
Exercise 
Out of cell time 
(total) 
Comments 
Medical
Staff Sign 
OIC Signature 
8 
D 
S 
06-04-2019 Morn 
Y 
M-
08-04-2019 Day 
y 
= 
0604-2019 Eve 
y 
= 
1:6454019 Morn 
v 
0605.2019 Day 
y 
06-05.2019 Eve 
r 
CO.013.2019 Mom 
y 
03-013.2019 Day 
Y 
06-062019 
0507.2019 
Eve 
Morn 
y 
y 
No 
M. 
ME 
Ce07.2019 Day
v 
0807.2019 Eve 
I 
r 
No 
—.--
ceoe-zors Mom 
v 
126-08-2019 Day 
v 
06.0112019 Eve 
r 
I
l 
013-09•2019
Morn 
v 
I
. 
126-08.2019 Day
v 
06.09.2019 Eve 
y 
M.
— 
Morn 
\ 
Day 
Eve 
NIA 
Medical Department Notified:  N/A 
DS: 
N/A 
AD Status 
EXPLANATORYNOTES:Pertinent Info: i e.. Epileptic; Diabetic; Suicidal; Assaultive: etc. Meals/SH: Shower - Yes (Y): No (N); Refused (R)Out•of -Cell 
Time: (LL) Law Ubrary,(LV) Legal Visit, (U) Unit Team. (P) Psychology. (E) Education, (H) Haircut, (C) Chapel, (R) Recreation, (X) Property Issue. (V) 
(M) Medical. (C) Court, (O) Other - Yes (Y) if applicable / Enter Actual Time Period Stan and End (i.e., 0930 -1030 Irs) in Out of Cell Time Block. 
Medical: Medical providers will sign the segregation log each shift and the record sheet each time the inmate is seen by a medical provider. At a minimum. 
the record sheet must be signed at least once each day by the medical provider. Comments: i.e., Conduct, Attitude. etc. Additional comments on reverse 
side must include date, signature, and title. OIC Signature: OIC must sign all record sheets each shift. (OIC • Unit Officer) 
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