EFTA00140423.pdf

Form 583 Report of Incident Incident It: NYM-19- Submitted By: Date/Time Of Incident 7/23/2019 1:27 AM C076 Section 1: General Information Staff Aware Date: 7/23/2019 1:27 AM FBI Notified: No USMS Notified: No Indicate Where Incident Occurred: Main Facility Location Level 1: SHU Level 2: Housing Unit, Special (SHU) Level 3: 9 SOUTH SHU TYPe•OtIncIffellf Institution Locked Down: No El Assault On inmate Modified Operations: No ❑ Assault On Staff Cause Of Incident Known? No ❑ Assault, Attempted On Inmate ❑ Assault, Attempted On Staff Cause Of Incident ❑ Disruptive Behavior ❑ Alcohol ❑ Commissary ❑ Escape From Non-secure Facility ❑ Debts ❑ Escape From Secure Facility ❑ Disrespect Issue ❑ Escape, Attempted From Non-secure Facility ❑ Drugs ❑ Escape, Attempted From Secure Facility ❑ Ethnic Conflict ❑ Fight ❑ Food Issue ❑ Inmate Death ❑ Geographical Conflict ❑ Institution Disturbance ❑ Interfering with Staff duties ❑ Introduction Of Contraband ❑ Property Issue ❑ Lethal Weapons Discharge ❑ Racial Conflict ❑ Self Mutilation ❑ Recreation Equipment ❑ Religious Issue ❑ Setting A Fire ❑ Security Threat Group Conflict ❑ Sexual Act, Non-consensual On Inmate ❑ Sexual Pressure ❑ Sexual Assault On Staff ❑ Sporting Events ❑ Sexual Contact, Abusive On Inmate ❑ Telephone ❑ Sexual Harassment. Repetitive ❑ Theft ❑ Staff Homicide ❑ Visiting ❑ Strike, Food ❑ Work Issue ❑ Strike, Work l21 Suicide Attempt Method: Hanging/Asphyxiation ❑ Use Of Force ❑ Use Of Force/Applications Of Restraints ❑ Use of Restraints, Pregnant/Postpartum Section 2: Inmates Involved UNCLASSIFIED/LIMITED OFFICIAL USE ONLYILAW ENFORCEMENT SENSITIVE This document is marked Unclassified/Limited Official Use Only/Law Enforcement Sensitive and may be disseminated, with proper attribution, to active law Enforcement, DOD. or U.S. Intelligence Agencies. This document or any segment/attachment thereof. may not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity, the general public or those without a 'need to know.' II contains Information that may be exempt from public release under the provisions of the Privacy Act (5 U.S.C. 552). 1 of 3 EFTA00140423  Form 583 Report of Incident Incident 0: NYM-19- Submitted By: Date/Time Of Incident: 7/23/2019 1.27 AM 0076 Reg #: 76318054 Name: EPSTEIN, JEFFREY Role: Victim Medical Attention Required: No Injury Category: Minor Inju Weapon (per inmate): No Use of Force (per inmate): No Chemical Used (per Inmate): No CIMS: No STG: Yes Restraints (per inmate): Escort Only Death (per inmate): No Rog #: 78514054 Name: TARTAGLIONE, NICHOLAS Role: Not Known Medical Attention Required: No Injury Category: No Injury Weapon (per Inmate): No Use of Force (per Inmate): No Chemical Used (per inmate): No CIMS: Yes STG: Yes Restraints (per inmate): No Death (per inmate): No Section 3: Others Involved Name: Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Person Type: Staff Medical ttention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Person Type: Staff Medical Attention Required: No Death: No UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE This document is marked unclassified/Limited Official Use Only/Law Enforcement Sensitive and may be dsseminated, with attribution, to active Law Enforcement. DOD. or U.S. Intelligence Agendas. This document or any segmenUattachment the may not be released without the approval of the Bureau of Prisons to any media sources, any non•law enforcement entity, the g public or those without a 'need to know.' It contains information that may be exempt from public release under the provislonti of the Privacy Act (5 U.S.C. 552). 2 of 3 EFTA00140424  Form 583 Report of Incident Incident if: NYM 19 Submitted By: Date/Time Of Incident: 7/23/2019 1: AM C076 Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Section 4: Lethal Weapon Discharge No data found. Section 5: Use of Force No data found. Section 6: Description of Incident DESCRIPTION OF INCIDENT (If Use Of Force, include details such as name of supervisor applying the chemical agent and/or restraints, reasons for use of hard restraints instead of soft restraints, etc.) Please be clear about cause(s) of the incident in your description. 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 pieced on suicide watch. Upon the arrival of medical staff, inmate Epstein was examined and treated by, MLP for a circular line lot erythema at the base of the neck, one section on the front with marks of friction and a small erythema on his left Section 7: Attachments File Date Fite Name i s origindiBitereiv No data found. Approved By: NOT COMPLETED UNCLASSIFIED/UNITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE This document is marked Unclassified/Limited Official Use Only/Law Enforcement Sensitive and may be disseminated, with proper attribution. to active Law Enforcement, DOD. or U.S. Intelligence Agencies. This document, or any segment/attachment thereof may not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity, the general public or those without a *need to know.' It contains information that may be exempt from public release under the provisions of the Privacy Act (5 U.S.C. 552). 3 of 3 EFTA00140425  UNITEL TATES GOVERNMENT Memorandum FEDERAL BUREAU OF PRISONS Metropolitan Correctional Center 150 Park Row New York New York 10007 July 23, 2019 MEMORANDUM FOR ALL ONCE NED FROM: Operations 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, Tartaglione, Nicholas #78514-054 had attempted to kill him and had been harassing him. He stated that the inmate had indicated that he'd informed his attorney of this matter. I photographed and spoke with inmate Tartaglione, Nicholas #78514-054 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 Only= EFTA00140426  NI EFTA00140427 they ran down. Upon L....ner questioning, inmate Tartaglione -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 from a legal visit at approx. 8:00PM and staff handed him a copy of the Daily News. "Nick" was on the floor reading the Daily News. He stated that he had given it to him. He stated that Tartaglione mentioned that he'd been in court all day in Westchester and was carrying on. At that point, inmate Tartaglione paused as if he was making the story up as he went along, and stated that Tartaglione stated, "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, he'd 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 he'd 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. U on the arrival of medical staff, inmate Epstein was examined and treated by, MLP for a circular line of erythema at the base of the neck, one section on the front with marks of friction and a small erythema on his left knee. ASensitive Limited Official Use Onlyz EFTA00140428 EFTA00140429  UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: 07 TO: Op U1'. FROM: S/O SUBJECT: Suicide Attempt Inmate Epstein#76318-054 On the above date at approx. 1:27am While working in the Special Housing Unit Myself and S/O heard noise coming from the M tier Cell 124. Upon arrival inmate Epstein's cell mate (Um Tartaglione #78514-054) was at the door stating UM Epstein #76318-054 had attempted to hang himself. I kept a visual while Officer grabbed door keys and called for assistance. After securing UM Tartaglione and removing him from the cell, I entered then placed UM Epstein on his side and removed an orange homemade rope from his neck. I/M was breathing at this time, But unresponsive. As I began chest compressions addition staff and Ops arrived, UM was then removed from the Special Housing Unit without further incident. EFTA00140430 "'Ilk e'S EFTA00140431  UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: July 23, 2 TO: Operations Li FROM: Senior Officer SUBJECT: Inmate Epstein reg# 76318-054 On July 23, 2019 at approximately 1:27 AM while assigned to the Special Housing Unit, myselfand Senior Officer Specialist heard some noises coming front M Tier. Upon checking cell Z05-124 I observed inmate Epstein reg# 76318-054 laying down near his bunk with what appeared to be a piece of handmade orange cloth around his neck. I immediately called Control Center for staff assistance. Officer kept a visual of inmate Epstein while I proceeded to retrieve the door keys and the cutter front the main cabinet located in the MPA. OfficerMapplied restraints to his cell mate inmate Tartaglione reg# 78514-054. 1secured inmate Tartaglione inside the bathroom while Officer a rovided assistance to inmate Epstein. When additional staffarrived inmate Epstein was removed from his cell without further incident. EFTA00140432 EFTA00140433  UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York July 23, 2019 TO: LT FROM: S/O/S SUBJECT: On July 23, 2019 at approximately 1:27, I, S.O.S responded to a body alarm on the Special Housing Unit. While the 9-South officer was conducted rounds inmate Epstein, Jeffrey #76318-054 was found in his cell with a noose around his neck and appeared to be unresponsive. I assisted with taking inmate Epstein #76318-054 from his cell and putting him on a stretcher. The inmate was taken to the second floor and placed on suicide watch, where he was monitored by staff. Moments afterwards, inmate Epstein became responsive. While observing inmate Epstein he sat up on the bed and began telling me that he think his Bunkie, Tartaglione, Nicholas #78514-054 tried to kill him. Inmate Epstein also stated that his Bunkie also tried to extort money from him and stated that if he didn't pay him that he would beat him up. He stated that this has been going on for a week. I asked inmate Epstein if he told staff about this and he told me no, that he'd only told his lawyer. He went on to say that his Bunkie told him that if he beat him up, because of his charges, the officers would not report it and because of this he was not comfortable telling the officers about the prolong threats and alleged attempts to extort him. I immediately reported this to the lieutenant. EFTA00140434 EFTA00140435  UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: TO: Onekations Lieutenant FROM: SUBJECT: Epstein, Jeffrey # 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 wa to the location (NI Tier) in which the disturbance stemmed from. I was told by Officer that Epstein, Jeffrey I/M# 76318-054 has attempted to hang himself. Upon arrival to ce num er 124 in which he was housed, I noticed ' on the floor and Officer placing restraints on him. Officer 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/M# 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, Office Officer and I lifted J. Epstein I/M# 76318-054 off the floor and placed him on t e stretcher. Once we secured him safely on the stretcher, Officer. and I lifted J. Epstein I/M# 76318-054 who is now on the stretcher safely out of 9 South (Special Housing Unit) and into the awaiting elevator. EFTA00140436 e'N EFTA00140437  UNITEL 'TATES GOVERNMENT Memorandum FEDERAL BUREAU OF PRISONS Metropolitan Correctional Center 150 Park Row New Ynrk Now York 10007 July 23, 2019 MEMORANDUM FOR ALL CONCERNED FROM: Material Handler Supervis SUBJECT: Possible Suicide Attempt On July 23, 2019 at approx. 1:27 a.m., the Control Center announced a call for assistance on the Special Housing Unit. Upon my arrival to 9-South, I/M Epstein, Jeffrey #76318-054 was lying on the floor of his cell handcuffed. I assisted with carrying inmate Epstein to HA-Unit on a stretcher, where he was dressed in a suicide smock and placed on Suicide Watch observation with staff. ASensitive Limited Official Use Only= EFTA00140438 n rN EFTA00140439  MCC NEW YORK Tuesday July 23, 2019 NEW YORK, NY Page 1 Daily Assignment Roster 6 07:00 -15:00 9 12:00 - 20:00 Post Split Shift 2 00:00 - 08:00 3 06:00 - 14:00 8 08:00. 16:00 10 14:00 - 22:00 12 16:00 - 00:00 CAPTAIN CAPTAIN SEC OPS LT ACT LT ADMIN LT SHU LT SIS LT SIS LT #2 SIA SIS TECH al SIS TECH #2 PHONE MONITOR SEC OFFICER #1 SEC OFFICER #2 TOOL ROOM SEARCH OFFICER 2 SALLY OFF 3 SALLY OFF LOBBY CONTROL 41 CONTROL #2 INTERNAL INTERNAL #2 ATTY CONF UNIT 2 UNIT 3 5 NORTH 5 SOUTH 7 NORTH 7 SOUTH 9 NORTH SHU #1 SHU tt2 SHU #3 SHU #4 10 SOUTH 41 10 SOUTH #2 7/23/2019 7:02:27 AM EFTA00140440 EFTA00140441  Tuosday July 23, 2019 Pago 2 REC OFFICER di REC OFFICER #2 11 NORTH 11 SOUTH 11 SOUTH #2 REAR GATE SANITATION OFF VISIT It1 VISIT 92 VISIT #3 ****Special Assign EPO OFFICE ESCORT OFF 01 ESCORT OFF #2 LOBBY 02 PHONE RM TOWN DRIVER SUICIDE WATCH ""Back Page Categorise. " DAY OFF SICK LEAVE ANNUAL LEAVE L LWOP( AWOL SUSPENSION MM.= OFFICIAL TIME 7/23/2019 7:02:34 AM EFTA00140442  Tuesday July 23, 2019 Page 3 COP IF TRAINING —"Change Records"" Relieved Officer's Relieving Officer's Ret Post Spit Shit Officer New Status Relieving Officer Previous Status Shft Changed By TOOL ROOM KS 7114 13:31 [Sick /Anntsall KS 7/1413:52 CONTROL 02 7/16 07:54 (sp)PHONE RM 2 7/16 07:54 SHU Cl 7/18 09:22 INTERNAL KS 7/18 0929 INTERNAL 7/16 12:07 UNIT 3 PW 7/17 15:58 OT/CT Start End OT ATTY CONF FW 7/18 08.00 DT/CT Start End DT 7 SOUTH FFW tem OT/CT Start End DT SHU LT 7/18 10:19 LWOP KS 7/18 11:35 5 SOUTH RW 7/18 12.10 OT/CT Start End OT (Inserted NCS) RW 7/19 10.19 INTERNAL RW 7/19 10.19 10 SOUTH #2 RW 7/19 1275 OT/CT Start End CT ACT LT JO 7/21 14:10 p r/CT Start End SHU #2 RW 7/22 08:21 OT/CT Start End OT VISIT #2 R1 ,W 7/22 0826 OT/CT Start End OT 1/23/2019 7:02:35 AM EFTA00140443  Tuesday July 23, 2019 Page 4 Re'loved Officers Relieving Officer's Ret Post Spit Shft Officer New Status Relieving Officer Previous Status Shft hanged By VISIT t$2 7/22 08:27 (Stck; Annual) 7/22 08:27 ! 7 NORTH 7/22 08:34 /CT Start End T 11 NORTH RW 72208:45 OT/CT Start End OT (sp)PHONE RM 2 KB 7/22 09:05 SHU 01 RN 722 09:20 OT/CT Start End OT [Inserted NCS) MN 7/22 09:39 SHU #3 RW 7/22 09:39 SHU 04 RIN 7/22 10:04 OT/CT Start End OT SHU 01 RW 722 1019 SHU 12 ION 722 10:19 OT/CT Start End OT 7 NORTH RW 7/22 10.43 [Sick / Annual) *7/22 10.43 9 NORTH RW 7/22 11:04 OT/CT Start End bT 11 NORTH MR 7/22 14.34 5 NORTH R 7/22 14.37 INTERNAL 02 7122 14:45 OT/CT Start End CT 7 NORTH 7/22 14.58 /CT Start End VISIT 02 7/22 15:28 /CT Start End 5 NORTH 7/22 18 12 /CT Start End UNIT 3 Cale, K $ 7/23/2019 7:02:35 AM EFTA00140444  Tuesday July 23. 2019 Page 5 Relieved Officer's Relieving Officer's Rot Post Spit Shft Officer New Status Relieving Officer Previous Status Shft angod By 11 SOUTH 7/22 19.21 CT Start End T INTERNAL 7/22 1922 SHUII2 7/22 21:14 (Sick /Annual) S. 7/22 2114 SHU e2 S. 7/22 21:14 OT/CT Start End OT 5 SOUTH GA 7/22 22.08 [Sick /Annual) GA 7/22 22 08 5 SOUTH Gii17/22 22 12 QT/CT Start End OT [Inserted NCS) 7/23 04:30 (sp)SuicIde Watch 7/23 04:31 (sp)Suicide Watch GA 7/23 04:31 T/CT Start End T 01:30 08:00 INTERNAL 7f23 04:32 T/CT Start End T 00:00 01:30 11 SOUTH GA 723 05:05 ""Recapitulation"" Morning Watch B AM Watch 7 Day Watch 23 PM Watch 6 Evening Watch 17 - Back Page Categories" Sick Leave 4 Day Off 20 Annual Leave 7 LWOP 1 LWOP(M) 4 AWOL 9 SUSPENSION 1 OFFICIAL TIME 1 COP 2 IF TRAINING 3 Total Correctional Svca. Staff: 113 Non Correctional Svcs. Staff: 2 Overtime Occurrences: 18 Comptimo Occurrences: 1 Ops Li Evening Watch Signature: Captain's Signature: 7/23/2019 702:38 AM EFTA00140445  Bureau of Prisons Health Services Clinical Encounter 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: MLP Unit: H01 Injury Assessment - Non-work related encounter performed at Health Services. SUBJECTIVE: INJURY 1 Provider: 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): 1 do not know. Just went to drink a little water and wake up snorting". O .13 41 Symptoms (as reported by inmate): 1 # t12 None OBJECTIVE: Temperature: Date Time Fahrenheit Celsius Location Provider 07/23/2019 06:30 NYM 97.5 36.4 Oral MLP 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 Value Legalism Position Cuff Si=t Provider 07/23/2019 06:30 NYM 140/85 Right Arm Sitting Adult-regular MLP SaO2: Date Time Value(%1 Air Provider 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.O019 09:05 by MLP Bureau of Prisons-NYM Page 1 of 2 EFTA00140446 EFTA00140447 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: MLP Unit: H01 Exam: Acutely III Pulmonary Auscultation Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally No: Crackles, Rhonchi, Wheezing Exam Comments Inmate for injury report as requested by Operational Lt. 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: "I 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 - RIO 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/rock Provider Outcome 07/23/2019 Counseling Access to Care Verbalizes Understanding 07/23/2019 Counseling Plan of Care Verbalizes Understanding Copay Required:No Cosign Required: Yes TelephoneNerbal Order: No Completed by MLP on 07/23/2019 09:05 Requested to be cosigned by -MD. Cosign documentation will be displayed on the following page. Generated 07/23/2019 09:05 by MLP Bureau of Prisons - NYM Page 2 of 2 EFTA00140448  AIN :eutenaill's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Possible Suicide Attempt Date and Time of Incident 07/23/19 — 1:27 AA1 Inmate Name/Register Number Epstein, Jeffrey #76318-054 Location of Incident Specialllousing Unit Photograph(s) by Lieutenant Date and Time of Photo 07/23/19 -1:45 AM n O I EFTA00140449  Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Possible Suicide Attempt Date and 'lime of Incident II 07/23/19 — 1:27 AM Inmate Name/Register Number Epstein. Jeffrey #76318-054 Location of Incident Special housing (,)zi/ Photograph(s) by 'eutenant Date and Time of Photo 0- '23 / 9 -1:15 AM 15 EFTA00140450  Lieutenant's Office Metropolitan Correctional Center New York, N.Y. Photo Sheet Special Investigative Section Type of Incident Possible Suicide Attempt Date and Time of Incident 0723.19 1:27 .4A1 Inmate Name/Register Number Epstein, Jeffrey 476318-054 Location of Incident Special Housing Unit Photograph(s) by Lieutenant Date and Time of Photo 07/23/19 -1.45 A:11 -.-y 2,3'11 EFTA00140451  reurenwo's Mice Metropolitan Correctional Center New York Photo Sheet Special Investigative Section Type of Incident Possible Suicide Attempt Date and Time of Incident 07/23/19 - 1:27 ,1111 Inmate Name/Register Number Epstein, Jeffrey #76318-054 Location of Incident Special Housing Unit Photograph(s) by Lieutenant Date and Time of Photo 07/23/19 -1:45 AM EFTA0014