EFTA00108431.pdf

Suicide Watch Chronological Log Inmate Companions Log C O. Name of inmate on watch: w CJ Register #: Suicide Mattress 4 131% itd Institution: MICC F- ›- Date Watch Began / Ended 1 49 n 7-0// A 242019) To be completed by Chief Psychologist at conclusion of watch: Booklet \ of I SWCL - INMATE EFTA00108431 STAPLE LOCAL PROCEDURES HERE Check one of the following: 0 This is the initial log book for this suicide watch. Enter date and time watch began: ifr This is a continuation log book for this watch. Enter date and time this watch book was initiated: 1-22 ori -00cirv) Instructions to Observer: Document your observations every minutes. Legibly print and sign your name at the beginning of your shift. EFTA00108432  PAGE 001 OF uus REG NO..: 76118=654 NAME . EPSTEIN, JEFFREY EDWARD CATEGORY: AIDS FUNCTION: riff FORMAT: FCL ASSIGNMENT DESCRIPTION START DATE/TIME STOP DATE/TIME NYM NOT MED CL NOT MEDICALLY CLEARED 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 hups://bopicp.doj.gov:9049/SENTRY/J1PP160.do 7/24/2019 EFTA00108433  Suicide Watch Observation Log rv7a:nrmaterpr7r4s, Reg #: /76,5/s --CS -- Date: 7/2 jirn Time Observations: Briefly note your observations. Initial all entries. Initials fl -66°11. ‘;.1 inee e 67; "?- 00077-4;i7 et..--Zi-tt< 7 17‘„2_ 7r-ors _ s--enik2e., ---749 0 es-7 --elonfrge 7;r--7 e3zr—o T-9- ca ce--4.--,7z-st . S. -1(r a7-si-rer-i7 cz-i..4 a./ ---tel, rite-477 .....ep_.-Varce 11 150 n• Sat -6' Cerdarels -gr; Ca.;-Zaiy meat ....4:5‘. se•/-5/ 1.44. _..e.e..4 tnre-a;, .ev4a.e.#,Cfie P 1 1SCka Idemat e ve::,Z0017 -- aaltS& ie,fe-a- e4e ea+ -ilea', toratat Cir 1 : 4 dais- e...4sropeRfr epoai; asadi ,77 etrEarepeafra Caen - 1 - At5a Sa,z$ aaesi7 -Z a;44.2:7 on S a-ei ei-la .,eSt. ,gas.-aeot. Cr t Sinn cAntne,tht ecaa*s-ii Selseisa* et 'sown ansisenet-, -lesta;), 02,-. Aier-4••••-/ a s ,apRa tc_.4 AK., ..e.a.Z.480 Cate R! /Tam --40 00: Eiradrea e..e..,0,9-26 e-too, eadAotain Sarei-xyar er„,64..api, atelcao• Sao Fpa, ao ak,ie C .44/ 02( -4. -es* tugs. Stab eiOdate g ama-6-4.07 •04 -rota --e-464aAasa g: 300 afriaO gpS .44 l-ts ail , ,i-4 -Ate Lea' - Note to all observers: Legibly print and sign your name at the beginning of your shift. EFTA00108434  Suicide Watch Observation Log Name of Inmate • Observations: Briefly note your observations. —.05.49" Date:07' 7-3 4' on watch: Reg St: & I; Time Initial all entries. Initials 244 itte •t--40.-?!.. .5-44 cininart *atage dar -"We Plecl astenioaaaS - 4 :Nor tYlfrOlatea Cet tate; ..4•5 rfetaisfaiettnK, J672P-1;rei 444;e4.w rs, 7C I is-ar, )3 C111/ ;freee))..7 Ate Alma, •tiar-ice, lienntle Eprito/ ) s 5;44-6-10 ike edit" of kis bed cc q. the thmter :1-40r-kh, a s keetreedhc 4-i 'tr.( be- 0 • s ais, VI tin epstro r 5 541441 on thie0116)20/ 10100 (nynede EFT1-0;In iffeteat 4-o spark_ tatZ4-11 h15 444 entvey . 1)1'1%44 itrsi-oh., t4s-kr, 141.1 YON-hedca•-ri or JO tsarn hinn er 405-74-n, irs,,h;),5 pr./ -lh /Ai P -Troor 0Ort 71-17i? 790)11-07 M tViosrh /hind( £,pf4'r "21_, #7,?-i 411-1-71A- S,r, el 17 5507 4 y :10001 lonv/A F:7,574,-7 ; s k/iv nipAy Note to all observers: Legibly print and sign your name at the beginning of your shift. 2 EFTA00108435  Suicide Watch Observation Log 0r watchrmate e pr_ k ik„ Rog #: 1 & -3M-0521- Date: 7 .23 V/ Time Observations: Briefly note your observations. Initial all entries. Initials (A)ath 7/72720 ----- 1 ,5---.74-2h , s-Ave .22-75 49-abn.' — 0 C . Via», ineik ,in 17445? / ----- ic>&"--- ( 74571,-A• -777,774,4° r hs14/74-in ;_s• poet ,9I in../ 6,---- ile/5)-211,4- kvAii) 62r-A Art/ .7.1.1)1,-r>" 112,, 14-01 / 0a -- a 1001- 4, L 7-,7- -(I L., :sat" ii,n/ra -t7s-A-.4-, )r egi•e? 1/;7_, OF- 1) : 66 tlYY) llama -I-; EF5-4eip-k rs. siil 4,, oh 4,/v 49d1P 0-Phie beet . CA., (17)1)(am thma k ejorkm sterbp/ 4 i:i- neck — II' raw) immy k ev...Th- 4; i., is i 4 eAli 4.ma, OL--- /I .7 94 _LhniAifre Cps 7t-,41,-, l-.1 pe //)1 ,5 g) O4.)-,- 0P // ;4 /1\ _Minn k k ?Se; A ;S 7 --/4/r•, 09 AA eal9e ofh; s i-, .Q1 06--- a; 09 9r r7)-014 A- Er 74;in is 5-./1-1/frzei a 7 144 e'll-a ark" r het/ a/144k zp - cfros-2/-- cc-- I 2 :0/9 ",i5 //nth,/ A Ft 12-,-; /&.,c-/ be/J-7 --- - 0 (Z: A) k k I ti Cain &O. -- a t i Sin) -77717).0de -C 1. >iIts;In is ith 14,11 14-er let ratipYr _7i-107a- 1e Cps-de/17 1 r s"% -4i,fri GA 12, for2/7C-)n-747/..r ,he3,i 7 frt,11i A t, "A.-CA (3 .) C._ /2.40pm isme74) Er ,-1-,fri ii - e/ni 74 A 4.) see /7 i 5- et -I latfr2O7, C.--e- t 7 c4Cprfr.. -77-7rn ple pps ie so ) 5' 5 -1)/ ( h/i7 lc- if?? QC: Ili° PM. ,Thnelaie -74- 11- A in ilr-r-/-// kx,/4-1Ximee OC Note to all observers: Legibly print and sign your name at the beginning of your shift. 3 EFTA00108436  Suicide Watch Observation Log Name of inmate on watch: -n 1-7 Reg ii: e9e2K- ( C.C-Date: ---7' in) i Time Observations: Briefly note your observations. Initial all entries. Initials i :/517/11 7h1714 le .10 / Z, 1 15- itin -14/friercL i/ •C -- , .12e?h, (rya , le 1:71-, / kV 6/74l ittkeat Or SITO-C 4 'Ater' ZiC175YeS P:Stif14/6 S G. nosRA-15ta, t% 41741.- sick) ta2T (-5 C.- :rim v ets-76,I.1 clw tad ti N -7- -2-%- li I R: ' iii: u) - c_1.- NA en e..\+ lICPS nac-v-ta J Cita/ C6cAC_ L (n, E-Ps la cr-, \s t". c•Ora-4- *CC ----- k-e-. tdt 'f 5. .S-1M a' - 1...) ,..„, 516 - 15 45(-‘C 'NI UpiaO41 c tify.)ts2 ---!ti `00. 01) -lc( 1n 0 54e , 6-/ is 6-(0-4, 4LeimA 5ctieN (42.- VA' DO; 4 AA 'r IM Cti.e,0 'kc, krAc(c(O4, ?Goat' SC(epw. -----(An "Pel17-) O (01.1 4/ (P C rt1,-) V, krA(c,N,L, pao..7.( 1µPi7\ ---- 4A-r .20115 2401ir 5 i 0.‘ 4PSit- (IV (S ictAc ix, G KSu — ctvpitvce. --obi- rnes• eR's44, a 4" ,. -1---i-co- u rwiaLn- The pc sce...) C...J./ ..a.,..A. tot. IA .,‘S - r Iv% E C's le • ri ,s "OisCussiN > Pc• SON) C-r•ivatc,NN-42,-r- , .30 D t: , en C.-RS (-0 -t--b• t ca -12/-e-Lk i st, U Prig01 4/"1— i4-1:1- esioSZAt .0OC.i'- 442 Lc- t-, ?..) obi+-11400A4-Ti Cc, \ 1":f I i-414/15 1c 1 -r-k t . 2.t- %AS r t•V's c-1, 544' ••-9 is C-Pic.0 Cr PC f-Ni..., t &it +I •:- 1- . i' . taw S 6 vve‘sail-- LT . 00 C .Mn ees‘e-t-s - C-DT... 'CO 1—"-1 doicaatt-i 271‘s ..0 co^ EPS4a,r. ‘TN??cein.s tr.) rat IS..stoP.06- • tv- 2-Z ' 3,.) rton &P ne-t4 (4:CC-ec‘s iv (3k Ska0me -Z2. •-C.S 1.-tsr‘ E-(-- +e,‘ i e-or:p42(Ans tu be Sloe p AL_ --- -e--t._ N. C- hip C‘l • 0 - r 1 C_ 1: S OACD to -, I IS5 -I-)C 3 W° . .. (.-.---... Note to all observers: Legibly print and sign your name at the beginning of your shift. 4 EFTA00108437  Suicide Watch Observation Log Name of Inmate on watch: • C.4351E ( 4• • . . * Reg #7,3 1 -051.-/ 'Date:7/03/A Time Observations: Briefly note your observations. Initial all entries. Initials OA / BraArk4 APUA resNyvNtib .I Cr -1-11estAit_ide, Lo5f-ck (.7( . Es44ein ±7 (2-05/1inr.P it 4t1LQA 7423/19- - DA cr --------_______----•• 0 ( f °PA limn, fes-mkx) is 61 • Fn • 11113PA& INThafe-EP5rEIA\ Is SI I _ 1 i 313pitk. ma--iccEPsim i\. is s e i i I LiSpAk lArna+e EPSTEW•is sl i 11 55PM 1/NAA-liv, 9 3cTISA "is ak Oe.53,1\A INAMe- FKRix) I % ;5 OL)let- "kg IA ma-fre_fice5 ik K ) 6 IAA- 1 1,,, ,,altit-.6.€57ci A'..Ls- 0.4:54ht IAM4PiEtecrgi IdS ir 6AM 16- crYn 1°°Ak .JA .CPS-lt.i 4 is c-si 1 /SAM A Mak— 1 I 'IaAm LI-rou 1.s'Clo,N Iwo Fps ,I .i.s, sto_eT,A \e a.% I _PS-it' k is sl e `%4 iAm.412.2-PS-rel 1S C., al5 30 's5.S ,a 4a_APA E- n. OE Eh _OktiC(}m Sju btikkoa- 0%11'1(018s s'O;Wons%; 1 iv f)1" Sim EPt4evrt ir tekl .W q a+ 4-1:s 4:pie: as-New--- CA5 Note to all observers: Legibly print and sign your name at the beginning of your shift. 5 EFTA00108438  Suicide Watch Observation Log onme of Inmate EQ54...ei, n Reg #: -lb 3 l ib — IDE•ki Date: 7p.l..ipl on watch: Time Observations: Briefly note your observations. Initial all entries. Initials 0300 Smfl -HMI i; T ikevl aqp9c .3 -If-„ \co ak- c1 k ; Med ehr i -..r--"-'"---...SeNi l Ci.r) CNN Wei irk QR5ke\ 6 01t60% 12/-6 toe, t,eiet)1 low•i•---- CAD On° tg4 1 , I m E g5kon cottea.v, Xn Noe, (Dtet m", \---e— Os) 0300.51 3(M cistoln Vvas 5'. W4 ko \:), cc.) sq:\ei, Avws \o be Seeieltko &A- Wks \‘t-k ov-iv-- 093 600 osk 3\f‘ Wt3;6t, tikkoas5 X,,,•''‘,o/ ‘keevrk) Cq.) otilcsem liti C461-0M akkaso ‘c, \oe. 5leee“,0\ uso A 430044 Vet cqckn \Atka txk MI5 an Ao ett•PAcke MOW,, noel \NO 0,16(b X. be (AVIA) \00A ko 5\te,‘ Cat ciAttcom 1\tn @z5 -tin NA0Ve, \ND 'Y* khe. ‘esVcionekorino) AM &tits- vtokka( ‘0¢AIN, tv,kon‘ k1 4/-,e, Nin,,no‘) N,,e) -0, LAVA O& 12/41‘Q./‘°t/CSI ) eit 000 in In i s \s A n 4 Nne, eftem 5 Xe \IC04., Arbrk Oeb 0% 05\C OA SNY1 cgiAer, totvAms \ O ti e 'plea, r\ CA 0541:00,ril 512 / A tkic\4,,rt ems Ao \K. 4 , Sn i 4+42, &Io j on LAAV ye tx.42,CA44 on 1/anit CZ, 05ck to tun It tb‘e,\n rtgp,scs >co her 5 (02/24214\ 0b oboo am (m ;246)A bVietts5 4t, \OP/ ilikeeQ\ Oa `) C.) kb 06\5(w S\14 Citict)i. vett-) \ta(-t-A ocz ke .p.,e, ktne, ‘04.400enbc):9,) 004 tft15 a,C ekA V Sortie Worker \Of 044/b vbnek WM/ Vto, \ocateCo•Qk AAA, Poi/Vic-GA . — 65 Note to all observers: Legibly print and sign your name at the beginning of your shift. 6 EFTA00108439  Suicide Watch Observation Log lot a:3cfhl:nmateE, 5.1e , n Reg #: n731 46— 05 4 Date: 7 a.q(19 Time Observations: Briefly note your observations. Initial all entries. Initials 0657ax) .3\M EP5\&& ateeac5 Ae be. 'Otte& of 4141S -1;/#1€. 4 left“ .0.51 1,1,25 0.cr.veazi 1OA- in 'fp'," been Non A-o tn,m a5 oc iti- 0% 06q5-007 u Tin Efsf e:n a cfeos 4 0 be 5ttef A a oc ce7o0c. en ie, c5JILL4- ,e4d of our c_ S 7: 00.4Pf 5{-eAt ik ,.),24,) e„ 27 7Sat 3 r t4, (Pci-s 7/ 5 4/4 -Yr( :e-pS4 tcice w, lobar* kic SI -las, to a -Az scimA ficig in,Z4 Mo-cLtriterr. L 7:3o AN /4 rti -efin Cepriti-in)fie IS -a -kr 4 -7.c.- 7:35,1N it4 cpc4ein ',9-1 up a-t-el . ke --t, ANAA- 1.- ..it- -7 : 4/0 4 h rt-1 Fp -f -e czoL iis?-t.o. &-} iJEk.) cA-. ./ -- z CQS, ohe Y-7- 7; WAY( .614 et 1, 7 Sh-e, ‘eort,,,,t- 'Li 4A-4 e Oa AM ntit Y it4 e / -4-1 A_R-te;A e9267u.s--y) 0-7,- 44-0 g: 14-4 N M F: epm to t-,(Alai-i 419Grehtettert, K:2061,1 ativaued %On I +kit ati i&A.QZ, -Joad 11 11 ciOr - ? el m Pio 'hy. Ski) iM-krIptoin3 ictct s kW 'N'. skryeri YM douse) 'Qom s'uiceris, uac0-cek I CC 0 6 SCVAA CA Note to all observers: Legibly print and sign your name at the beginning of your shift. 7 EFTA00108440  Suicide Watch Observation Log Name of Inmate Reg tt: Date: on watch: Observations: Briefly note your observations. Initial all entries. Initials Time Note to all observers: Legibly print and sign your name at the beginning of your shift. 8 EFTA00108441