EFTA00140759.pdf

UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: -)\ 30\k Ck TO: FROM: SUBJECT: DHO Checklist/ EPSTEIN. JEFFREY EDWARD Reg. No.: 76318-054 The UDC refers this case to the DHO, all of the following is attached: PP44 - To determine if the inmate is GED "Sat or Unsat" PSDC - To determine the number and types of comps. PSDG- To determine the amount of available GCT for each Comp. PSSD- To determine the amount of SGT (ifold law) PD15 - To determine frequency/ repetitive misconduct. PD16 - To determine if any suspended sanctions available to execute. BP 293 BP 294 Translator needed: No Yes, Language EFTA00140759  NYMBN ♦ INMAlt DISCIPLINE 07-30-2019 PAGE 001 OF 001 * UPDATE CHARGES • 12:58:08 REGISTER NUMBER...: V6318-054 NAME • IEPSTEIN REPORT NUMBER • '1282555 FUNCTION ' REP INCIDENT DATE/TIME: '07-23-2019 '0127 INCIDENT FACL.: REPORT DATE/TIME..: p7-30-2019 [1745 INVESTIGATOR..: STATUS • PEND UDC STATUS UPDT BY: STATUS DATE/TIME..: p7-30-2019 '1256 STATUS FACL...: rhteM REPORT REMARKS....( UNSUSPENDED TO GO FOWARD WITH UDC PROCESS. CHARGE: PA - TATTOOING OR SELF-MUTILATION CHARGE: CHARGE: CHARGE: CHARGE: CHARGE: CHARGE: F-- CHARGE: CHARGE: G0005 TRANSACTION SUCCESSFULLY COMPLETED - CONTINUE PROCESSING IF DESIRED Page 1 of 1 7/30/2019 EFTA00140760 EFTA00140761 PD11 Page 1 of 1 . • NYMA7 INMATE DISCIPLINE • 07-23-2019 PAGE 001 OF 001 * UPDATE CHARGES • 22:14:24 REGISTER NUMBER...: R6318-054 NAME 'EPSTEIN REPORT NUMBER • 3282555 FUNCTION RT. INCIDENT DATE/TIME: p7-23-2019 p127 INCIDENT FACL.: PreM REPORT DATE/TIME..: p7-23-2019 FYN INVESTIGATOR..: UNKNOWN STATUS • 'SUSPENDED STATUS UPDT BY: STATUS DATE/TIME..: F777177UIT PIT STATUS FACL...: priM REPORT REMARKS....( II/R SUSPENDED PEND MENTAL HEALTH EVAL. (j CHARGE: PTTATTOOING OR SELF-MUTILATION CHARGE: CHARGE: CHARGE: CHARGE: CHARGE: CHARGE: CHARGE: CHARGE: G0005 TRANSACTION SUCCESSFULLY COMPLETED - CONTINUE PROCESSING IF DESIRED https://boplcp.doj.gov:9049/SENTRY/J1PPD10.do 7/23/2019 EFTA00140762 BP-5293.052 INMATE RIGHTS AT DISCIPLINE HEARING CDFRM ereDEPARTNENT OF JUSTICE FEDERAL BUREAU OF PRISONS Institution: As an inmate charged with a violation of Bureau of Prisons rules or regulations referred to the Discipline Hearing Officer (DHO) for disposition, you have the following rights: 1. The right to have a written copy of the charge(s) against you at least 24 hours prior to appearing before the Discipline Hearing Officer; 2. The right to have a full-time member of the staff who is reasonably available to represent you before the Discipline Hearing Officer; 3. The right to call witnesses (or present written statements of unavailable witnesses) and to present documentary evidence in your behalf, provided institutional safety would not be jeopardized; 4. The right to present a statement or to remain silent. Your silence may be used to draw an adverse inference against you. However, your silence alone may not be used to support a finding that you committed a prohibited act; 5. The right to be present throughout the discipline hearing except during a period of deliberation or when institutional safety would be jeopardized. If you elect not to appear before the DHO, you may still have witnesses and a staff representative appear on your behalf; 6. The right to be advised of the DHO's decision, the facts supporting that decision, except where institutional safety would be jeopardized, and the DHO's disposition in writing; and, 7. The right to appeal the decision of the DHO by means of the Administrative Remedy Procedure to the Regional Director within 20 calendar days of notice of the DHO's decision and disposition. I hereby acknowledge that I have been advised of the above rights afforded me at a hearing before the Discipline Hearing Officer. I have further been advised that if have previously received either a presumptive or effective parole date from the Parole Commission, a finding by the DHO that I committed the prohibited act(s) may result in a rescission or retardation by the Parole Commission of the presumptive or effective parole date. Inmate's Name: EPSTEIN RINE ALIUDReg. No.: 76318-054 Inmate Signature: Date:`134:11,4 Notice of rights •iven to inmate Date time : by: (This form may be replicated via WP) Replaces BP-S293(52) of JAN 88. EFTA00140763 BPA29"52 MAY 1994 NOTICE OF DISCIPLINE HEARING BEFORE THE (DHO) U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS MCCNY institution DATE: 07/30/2019 TO: EPSTEIN. JEFFREY EDWARD Reg No 76318-054 ALLEGED VIOLATION(S) Tattooing or SeIf-Mutilation DATE OF OFFENSE: 07/23/200 Code NO 228 You are being referred to the OHO for the above tharge(s). The hearing will be held on: "re.P. • at (A.MJP.M.) at the following locabon You are entitled to have a kill ume staff member represent you at the hearing. Please indicate below whether you destre to have a staff representative. and if so, his or her name. (do) (do not) %/wish to have a staff representative. If so. the staff representative's name is: • You will also have the right to ca:l witnesses at the hearing and to present documentary evidence In your behalf, provided, catling your witnesses will not jeopardize institutional safety. Names of witnesses you wish to call should be fisted below. Briefly state to what each proposed witness would be able to testify. I (do) _ (do not) I _ wish to have witnesses. NAME: , Can Testify to: NAME: Testify to: NAME: . Can Testify to: The Discipline He Officer will call those witnesses (Staff or inmate) who are reasonabie available, and who are determined by the DHO to have Information relevant to the charge(s). Repetitive witnesses and repetitive character references need not be called. Unavailable witnesses may be asked to submit written statements. I additional space Is needed, use the reverse side of this form. Date, sign, and return th1 form to the DHO. aces DATE:1 \ e3C) C1 4/i SIGNATURE: Nolen of hearing before DHO given inmatel 4 SIT emme EFTA00140764  Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Institution Disciplinary Process Report Inmate Name: EPSTEIN, JEFFREY EDWARD Reg S. 76318-054 Date of Birth: 01/20/1953 Sex: NYM Unit Team: 5 Date: 07/30/2019 12:01 Provider: Reason for Referral and Identifying Information Inmate Epstein was referred by Unit Manager for an evaluation of competency to proceed with the disciplinary process for actions resulting in an incident report. On 7/23/19, inmate Epstein was charged with code 228 (Tattooing or Self-Mutilation). These infractions were assigned incident report number 3282555. flackgmund Information According to a Suicide Risk Assessment dated 7/09/19 by Dr. M. "Inmate Epstein denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time." According to a Suicide Risk Assessment dated 7/09/19 by Dr. M, "Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging In any suicide attempts or self-injurious behavior in the past." According to this writers Suicide Risk Assessment dated 7/23/19, "It is unclear at this time If he had placed the string around his neck or if someone else did." Clinical Interview and Mental Sta • xa Inmate Epstein still does not remember how he obtained the marks around his neck. Current Mental Status: He exhibited a neutral mood with a full range of affect. His speech was logical and coherent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucinations were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. There was no indication of disturbed thought process or content. Intellectual ability appeared to be above average. Personal hygiene was adequate. He denied current suicidal or self harm ideation and he agreed to immediately tell staff if he starts to have suicidal or self harm thoughts. He was future oriented. He does not appear to be an Immediate danger to self. He denied thoughts of hurting others and he agreed to tell staff if he has these thoughts. Clinical Impression According to his last Diagnostic and Care Level Formulation Note dated 7/09/19 by Dr. "No Diagnosis, No Dx - Current." Elnifinaa The determination of whether an inmate is competent to proceed with the disciplinary process is based on a clinical assessment of the inmate's (1) ability to understand the nature of the proceedings, and (2) their ability to assist in their own defense. Depending on the outcome of the assessment, one of three findings can be made: (1) the Inmate Is COMPETENT to proceed with the disciplinary process; (2) the inmate is NOT PRESENTLY COMPETENT but could be restored to competence with treatment; or (3) the inmate is NOT COMPETENT and is unlikely to become competent. Recommendations Regarding Sanctions In the case of Inmate Epstein, after a review of available psychological and psychiatric records as well as information pertaining to the offense conduct, it is determined that this inmate is: (X) COMPETENT to proceed with the disciplinary process. ( ) NOT PRESENTLY COMPETENT, but could become competent with treatment; it is recommended that the inmate for an updated competency assessment in 30 days. ( ) NOT COMPETENT and not likely to become competent. Generated 07/30/2019 12:33 by Bureau of Prison - NYM Page 1 of 2 EFTA00140765 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: NYM Unit Team: 5 Date: 07/30/2019 12:01 Provider. Completed by on 07/30/2019 12:33 Generated 07/30/2019 1233 by Bureau of Prisons • NYM Page 2 of 2 EFTA00140766  I RP ‘02P 8 INCIDENT REPORT ;IAN 17 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS Part 1- Incident Report 1. Insttibon. mew ork Incident Report Number. MCC Y 2. Inmate's Name: 3. Register Number: 4. Date of incident j 5. Time: Epstein . Jeffery 76318-054 07/23/2019 1:27am S. Place of Incident: 1. Assignment: 8. V SHU M-Tier Cell 124 Unassigned ZA 9. Incident: Self-Mutilation 10. Prohibited Act Code (a): 228 11. Description of incident (Date: 07/23/2019 Time 1:27AM Staff became aware of Incident). On Ju 23.2019 at approx. 1:27am While working in the cial Housin Unit Myself an heard noise comIng from the 6.1 tier cell 124.Upon arrival IM's E en.Jelf 78318-054 cell mate at the oot a g NA 5 ein,Jeff 76318-054 had abempted to ang al or ass stance. in from me cea,i en en on removed a orange homemade rope from a But unresponsive. Addtion staff and Ops a arrived UM was then removed from SHU 12. Typed Name/S eporting Employee: 13. Date And Time: je 07/23/2019 3:30am 14. Incident Repo 15. Data Indent Report Dithered: (Type Name/S 7 - 5a 7F Part S —CornmIttoo Action 17. Comments of Inmate to Committee Regarding Above Incident 1. pin ulac, toad ktk 5 anti, shill/act (].,d(1+ io P-4129 ! I 18. A. It is the finding of the committee that you: Hedg. 8. The Committee is retorting the Cheroo(s) to the DHO for further H Committed the Prohibited Act as charged- Did not Commit a Prohibited Act. Committed Prolibited Act Code (s). 19. Committee Decision is Based on Specific Evidence as Follows: C. The Committee advised the inmate of its finding and of the right to file an appeal within 20 calendar days. Ut) .4( 3\ ft? 4n -ache_ Ot-A-u ttt, ALAQ • ei20. ommItlee Salon or recommendation if referred to DHO (Contingent upon DHO finding Inmate commtttod prohibited act): a TGW,A1talilla lrec.lcarallelrizeIffealIVESIIIMILTPSdrilCalfirStraritit! wAt .017ZOSIMIIIIIrrffleasTa VI LVVII:ballWaltraiM atrisiii.•aelfinGtalritTiMISMIF.TiieJE CA IIIn 21. Date and Time of Actio M (The UDC Chalrmann signature certifies' o sat on the UDC and that a completed rep Member (Typed Name): 'Member (Typed Name): INSTRUCTIONS: Ail items outside of heavy rule are for staff use only. Begin entries with the number 1 and work up. Entries not voided by staff. completed vid be Distribute: Original-Central File Record: COPY -t -OHO: COPY-2-inmate alter UDC Action: COPY 3-Inmate within 24 hours of Part I Preparation PDF Prescribed by P5270 Replaces BP-A0288 of AUG 11 EFTA00140767  Part III - Investigation 22. Date And Time Investigation Began 7/30/2019 12:40PM 23. Inmate Advised Of Right To Remain Silent: You Are Advised Of Your Right To Remain Silent At All Stages Of The Disciplinary Process But Are In rmed That Your Silence May Be Used To Draw An Adverse Inference Against You At Any St e Of The Institutional Disciplinary Process. You Are Also Informed That Your S ence Alone May Not Be Used To Support A Finding That You Have Committed A Prohibited The Inmate Was Advised Of The Above Right By enant (Date/time)?/30/2019 12:40PM 24. Inmate Statement And Attitude: Inmate Epstein, Jeffery #76318-054 was advised of his rights and understood his rights as read. Inmate Epstein stated "I no comment at this time". Inmate Epstein had a poor attitude. Inmate Epstein was furnished a copy of this report. 25. Other Facts About The Incident, Statements Of Those Persons Present At Scene, Disposition Of Evidence, Etc. No witnesses requested. Please see attached staff memorandum, photograph and medical assessment. This incident report was served late due to inmate on suicide watch. 26. Investigator's Comments And Conclusions: Based on the writer's description of the incident in block 111, of the incident report, This investigator concludes the report to be accurate as written and the charge warranted. 27. Action Taken: Inmate Epstein is in his special housing unit status, this report referred to UDC for further disposition. Date and Time Investig ion Completed 7/30/2019 12:45PM Printed Name/signa re Of InvestigatorI'll. Signature Title Lieutenant EFTA00140768  UNITED STATES GOVERNMENT Memorandum FEDERAL BUREAU OF PRISONS Metropolitan Correctional Center 150 Park Row New York New York 10007 July 23, 2019 MEMORANDUM F ED FROM: perations Lieutenant SUBJECT: Possible Suicide Attempt On July 23, 2019 at approx. 1:27 a.m., a call for assistance on the Special Housing Unit was announced by the Control Center. Upon my arrival I was informed that an inmate had attempted suicide and proceeded to cell, Z05-124LAD. I observed inmate Epstein, Jeffrey #76318-054 lying in the fetal position on the floor of his cell wearing a t-shirt and boxers. He was breathing heavily and was snoring. I called out to inmate Epstein and observed him flicker his eyes and continue snoring. His neck was red with no abrasions. I observed no further injuries to his person. An attempt was made to get the inmate to stand on his own with negative results. The inmate was placed in hand restraints and staff was directed to retrieve the stretcher. As inmate Epstein was being placed on the stretcher by responding staff, he would open his eyes and observe staff. When staff made eye contact with him, he would hurriedly shut his eyes. The inmate was taken to HA-Unit, dressed in the suicide smock and placed on suicide watch. While awaiting the arrival of an inmate companion, inmate Epstein sat on the edge of the bed and began moving forward as if he was attempting to fall over head first. When I looked away, he straightened up. As I turned to look at him again, he attempted the same act. I laid him down on the bed and directed him to cease his action or he would be placed in restraints for his safety. At that moment, he stated, "Okay, I won't do it again," and gave the thumbs up. Because of his unpredictable behavior, the decision was made to have a staff member observe inmate Epstein. I left HA-Unit in order to make staff notifications. Moments later, I spoke with Officer who stated that inmate Epstein was alert and had indicated that his cellmate, had attempted to kill him and had been harassing him. He stated that the inmate had indicated that informed his attorney of this matter. I photographed and spoke with inmate who stated that he was asleep with his headphones on when he felt something hit his legs and said, "Jeff, what you're doing?" He didn't answer, so he got up, turned on the light and saw him with a string around his neck. He stated that he then called the guards and ASensitive Limited Official Use Ottlyz EFTA00140769 they ran down. Upon further questioning, inmate stated that he sleeps on the bottom bunk, but gave it to inmate Epstein because he's old. He stated that he sleeps on the floor on a mattress. He stated that when he got up, he couldn't remember if he sat up or stood up to check on Epstein. He stated that Epstein was sitting on the floor leaning to the side with his eyes opened, but wasn't responding. He stated that the last time he saw him he was snoring really loud. Inmate Epstein stated that he came in froppLt legal visit at approx. 8:00PM and staff handed him a copy of the Daily News. "M" was onStfloor reading the Daily News. He stated that he had given it to him. He stated that mentioned that rt all day in Westchester and was carrying on. At that point, inmate paused as if he was making the story up as he went along, and stated that ted, "These fucking niggers. This place is inhumane, I wish I could report it. (Officer), that nigger hobbit mother fucker." He then turned to a page in the Daily News that had his picture on it and stated that Epstein was worth seventy seven million dollars. Epstein stated that he took his picture, balled it up and threw it in the garbage. I asked inmate Epstein what happened prior to staffs arrival. He stated that at approx. 1:00 AM, gotten up to get a drink of water, as he gets up every thirty minutes. He remember walking back to his bunk and waking up with staff there in his cell. I asked if waken up and seen staff, why didn't he respond when we were calling out to him? He stated that he only remembered hearing himself making a noise like snoring. When asked about the allegations against his cellmate, he stated that he was told, if he hurt him, staff wouldn't care. Duty medical, Dr. was notified and briefed. It was determined no further medical attention was needed. A medical assessment was not conducted at the time of this incident, due to the fact, there was no medical staff available after 10:00 PM. arrival of medical staff, inmate Epstein was examined and treated by, MLP I e a circular line of erythema at the base of the neck, one section on the front for with marks of friction and a small erythema on his left knee. ASensitive Limited Official Use Only= EFTA00140770  S T AT E S G O VERNMENT UNITED UM MEMORAND New York rectional Center, New York, Metropolitan Cor DATE: 07 TO: Ops LT FROM: S/O/S -0S4 In m ate Epstein#76318 and SUBJECT: Suici de A tt em pt S pe ci al H ou si ng Unit Myself ng in the ll mate . I: 27 am While worki l in m ate Epstein's ce te at ap pr ox Cell 124. Upo n ar ri va himself. On the above da om th e M ti er 18 -0 54 ha d at tempted to hang 1 heard noise co ming fr do or st at in g 1/ M Epstein #763 as si st an ce . A fter securing 1/1v #78514-054) was at the d called for his side and rem oved gr ab be d door keys an M E ps te in on while Officer en placed 1/ unresponsive. A s I began 1 e t a visual e cell, I entered th B ut mina and removing hi ade rope from m ro m hi s th ne ck . I/ M was breathin g at th arrived, 1/M is ti w m e, as th en re m oved from the S pecial imrteran lligomem addition staff and Ops Lt ons chest compressi cident. ou si ng U nit w ithout further in H EFTA00140771  A T E S GOVE RNMENT UN IT E D S T M MEMORANDU k, New York rectional Center, New Yor Metropolitan Cor DATE: July 23, 2 TO: Operations Li FROM: liall SUBJECT : Inm , at e E p st Senior Officer ein rcg# 76318- 054 a ou si ng U ni t, m yself and Senior Officer the Special H at el y 1: 27 A M white assigned to 1 observed inmat e Epstein at ap pr ox im ce ll Z 05 -1 24 On July 23, 2019 Upon checking around his e no is es co m in g from M Tier. nd m ade orange cloth e a rd so m ec e of ha Specialistilli th ed to be a pi ne ar hi s bu nk with what appear vi su al of inmate Epste in while I layi ng do w n ri n g ke pt a reg# 763 I 8-054 ce. Office iceraillapplie d C on tr ol C en te r for staff assistan th e M M . O ff tely called t located in neck. 1 immedia an d th e cu tte r fr om the main cabine in si de the bathroom w hile e do or ke ys proceeded to retr ieve th ed inmate re g# 78514-054. [secur e E ps tein was removed from e in m at e ri ve d in m at restraints to his ce ll m at ditional staff ar an ce to in m at e Epstein. When ad Officeero vided assist further incident. his cell without EFTA00140772  UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: Jul 23 TO: One ations Lieutenant FROM: SUBJECT: Epstein, Jeffrey 1# 76318-054 At approximately 1:27AM, I responded to a radio transmission asking for staff assistance on 9 South (Special Housing Unit). Once I was granted access to said unit I made my way to the location (M Tier) in. which the disturbance stemmed from. I was told by Officer.. that Epstein, Jeffrey um# 76318-054 has attempted to hang himself. Upon arrival to cenuit 124 in which he was housed, I noticed J. Epstein I/M# 76318-054 on the floor and Officer placing restraints on him. Officert In, Lt. Mai and I entered said cell attempting to assist in said process. Now that I am inside of the cell I notice that J. Epstein I/Mti 76318-054 was snoring on the floor of his cell, he appeared to be asleep. We made several verbal commands for him to wake up and attempted to get him to his feet but they were all unsuccessful. After said attempts Lt. asked for a stretcher to be retrieve to safely remove him out of his cell. Once the stretcher arrived, Officer.. Officer and I lifted J. Epstein I/M# 76318-054 off the floor and placed him on the stretcher. Once we secured him safely on the stretcher, Officer and I lifted I Epstein I/M# 76318-054 who is now on the stretcher safely out of 9 Sow (Special Housing Unit) and into the awaiting elevator. EFTA00140773  IT E D S T AT E S GOVERNMENT UN M MEMORANDU York, New York rectio nal Center, New Metropolitan Cor July 23, 2019 TO FROM: 5/O/S SUBJECT: e a bo dy alarm on th ap pr ox im at el y 1:27, I, S.O.S N. uc re te sp d on ro de un d ds to in mate Epstein, Je ffrey On July 23, 2019 at hi le th e 9- S ou th officer was cond d ap pe ar ed to be unresponsive. Unit. W his neck an her. Special Housing d in hi s ce ll w ith a noose around ce ll an d pu ttin g him on a stretc un 54 from hi s itored by #76318-054 was fo in m at e Epstein #76318-0 w at ch , where he was mon ta ki ng su ic id e • I assisted with th e se co nd flo or and placed on . W hi le ob s • ' taken to e responsi ve The inmate was , in m at e Epstein becam Bunkic, staff. Moments af te rw ar ds n te ll in g m e th at he think his ki e also tried to exto rt an d be ga at his B un on the bed stated th ed that ki ll hi m . In m ate Epstein also w ou ld be at him up. He stat tried to y him that he d he told m an d st at ed th at if he didn't pa ps te in if he to ld staff about this an beat money from hi fo r a w ee k. I asked inmate E hi s B un ki e told him that if he on ent on to say th at was not this has bel ling ld his lawyer. He w it an d because of this he on ly to t re po rt . I me no, that s ch ar ge s, th e officers would no d al le ge d at te m pts to extort him him up, because of hi threats an th e of fi ce rs ab out the prolong comfortable telling eutenant. m ed ia te ly re po rted this to the li im EFTA00140774  OVERNMENT UNITEL .TATES G Memorandum ONS OF PRIS FEDERAL BUREAU ctional Center Metropolitan Corre 150 Park Row New York New Ynrk 10007 July 23, 2019 MEMORANDUM FO FROM: SUBJECT: R ALL CONCERNED M. Thomas, Mater ial Handler Supervis Possible Suicide At tem pt lca a call for a. m ., th e C on tro l Center announced stein, On July 23, 2019 at approx. 1:27 t. U po n m y ar riv al to 9-South, UM Ep ecial Housing U ni assisted with assistance on the Sp on th e flo or of hi s cell handcuffed. I in a suicide Jeffrey #76318-054 was lying a st retc he r, w he re he was dressed stein to HA-Unit on carrying inmate Ep ic id e W at ch observation with st aff. on Su smock and placed ffi cial Use Ottlyae ASensitive Limited O EFTA00140775  Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Rai l WHITE Facility: NYM Encounter Date: 07/23/2019 06:20 Provider: MLP Unit: H01 Injury Assessment - Non-work related encounter performed at Health Services. SUBJECTIVE: INJURY 1 Provider: IMMMLP Date of Injury: 07/23/2019 01:27 Date Reported for Treatment: 07/23/2019 08:25 Work Related: No Work Assignment: UNASSG Pain Location: Pain Scale: 0 Pain Qualities: Where Did Injury Happen (Be specific as to location): Special Housing Unit Z05-Cell 124 L Cause of Injury (Inmate's Statement of how Injury occurred): "I do not know. Just went to drink a little water and wake up snorting". Symptoms (as reported by Inmate): None OBJECTIVE: Temperature: PAIR Time Fahrenheit Celsius Location Provider 07/23/2019 06:30 NYM 97.5 36.4 Oral it‘ALP Pulse: Date Time Rate Per Minute Location Rhythm Provider 07/23/2019 06:30 92 Via Machine Regular MLP Respirations: Date Time Rate Per Minute Provider 07/23/2019 06:30 NYM 16 MLP Blood Pressure: Date Time Yalu 1.,kcatjact Position Cuff Size Provider 07/23/2019 06:30 NYM 140/85 Right Arm Sitting Adult-regular MLP SaO2: Date Time Valuer/01 Bit 07/23/2019 06:30 NYM 96 Room Air MLP Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Lethargic, Dyspneic, Appears In Pain, Pallor, Cyanotic, Diaphoretic, Disheveled, Generated 07/23/2019 09:05 by M. MLP Bureau of Prisons - NYM Page 1 of 2 EFTA00140776 Inmate Name: EPSTEIN:JEFFREY EDWARD ' Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/23/2019 06:20 Provider: MI. MLP Unit H01 Exam: Acutely III Pulmonary Auscultation Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally No: Crackles, Rhonchi, Wheezing EXitm Comments Inmate for injury report as requested by Operational U. He is ambulatory, oriented x 3. In not apparent distress, smiling during this clinical encounter. Alleges, that he does not know what happened. Can not explain the marks on his neck. Responded: 1 don't know-. He does not want to talk of the events leading to the marks on his neck. He does not look in any distress or pain. Has an circular line of erythema at the base of the neck. Reaching 2/3 of the neck circumference, 2 inches wide, sparing the back of the neck. Has one section of this erythema in the front with marks of friction. No inflammation, no deformities, no hematomas, no lacerations, no tenderness. Patient moving his neck without any restriction. Denies having any pain or discomfort. Denies any respiratory problem. Has another small erythema on left knee about 2cm in diameter(mild). As per information from custody staff inmate Epstein was found in his cell with a rope around his neck and sitting on the floor. Inmate is currently placed on suicide watch. ASSESSMENT: Injury, unspecified, T1490 - Current - /WO self inflicted injuries. PLAN: Disposition: Follow-up at Sick Call as Needed Placed on Suicide Watch Follow-up in 2-4 Hours Other. For follow up with psychology service. Patient Education Topics: Date Initiated Format Handout/Took Provider Outcome 07/23/2019 Counseling Access to Care 1 Verbalizes Understanding 07/23/2019 Counseling Plan of Care Verbalizes Understanding Copay Required:No Cosign Required: Yes TelephoneNerbal Order: No Completed by M. I. MLP on 07/23/2019 09:05 Requested to be cosigned by MD. Cosign documentation will be displayed on the following page. Generated 07