EFTA00054977¶
BP-A0292 APR 16¶
SPECIAL HOUSING UNIT RECORD¶
U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS¶
| Date | Shift | Meals | SH | Exercise | Out of cell time (Total min/hrs) | Comments | Medical Staff Sign | OIC Signature | |||
|---|---|---|---|---|---|---|---|---|---|---|---|
| B | D | S | |||||||||
| Morn Day Eve | |||||||||||
| Morn Day Eve | |||||||||||
| Morn Day Eve | |||||||||||
| Morn Day Eve | |||||||||||
| 07-08-2019 | Morn Day Eve | Y | |||||||||
| Morn Day Eve | |||||||||||
| Morn Day Eve | |||||||||||
| Morn Day Eve | |||||||||||
| Morn Day Eve | |||||||||||
| 07-11-2019 | Morn Day Eve | Y | N | Ref | See 2nd page | ||||||
| 07-11-2019 | Morn Day Eve | Y | |||||||||
| 07-12-2019 | Morn Day Eve | Y | See 2nd page | ||||||||
| 07-12-2019 | Morn Day Eve | Y | |||||||||
| 07-13-2019 | Morn Day Eve | Y | |||||||||
| 07-13-2019 | Morn Day Eve | Y | |||||||||
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 Library,(LV) Legal Visit, (U) Unit Team, (P) Psychology, (E) Education, (H) Haircut, (C) Chapel, (R) Recreation, (X) Property Issue, (V) Visit, (M) Medical, (C) Court, (O) Other – Yes (Y) If applicable / Enter Actual Time-Period Start and End (i.e., 0930 – 1030 hrs) 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)¶
PDF¶
Prescribed by P5270¶
This form replaces BP-292(52) dated AUG 2011.¶
EFTA00054978¶
| 07-11-2019 | Day shift comments: Health: Voices no medical complaints. |
| 07-12-2019 | Day shift comments: Health: Voices no medical complaints. |
EFTA00054979¶
BP-A0292 APR 16¶
SPECIAL HOUSING UNIT RECORD¶
U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS¶
| Date | Shift | Meals | SH | Exercise | Out of cell time (Total min/hrs) | Comments | Medical Staff Sign | OIC Signature | |||
|---|---|---|---|---|---|---|---|---|---|---|---|
| B | D | S | |||||||||
| 07-14-2019 | Morn | Y | |||||||||
| 07-14-2018 | Day | Y | N | No | |||||||
| 07-14-2019 | Eve | Y | N | No | |||||||
| 07-15-2019 | Morn | Y | |||||||||
| 07-15-2019 | Day | Y | Y | No | 01:00 | See 2nd page | |||||
| 07-15-2019 | Eve | Y | No | ||||||||
| 07-16-2019 | Morn | Y | See 2nd page | ||||||||
| 07-16-2019 | Day | Y | |||||||||
| 07-16-2019 | Eve | Y | No | ||||||||
| 07-17-2019 | Morn | Y | |||||||||
| 07-17-2019 | Day | Y | Y | Ref | 01:00 | See 2nd page | |||||
| 07-17-2019 | Eve | Y | No | ||||||||
| 07-18-2019 | Morn | Y | |||||||||
| 07-18-2019 | Day | Y | N | Ref | |||||||
| 07-18-2019 | Eve | Y | No | ||||||||
| 07-19-2019 | Morn | Y | 00:15 | See 2nd page | |||||||
| 07-19-2019 | Day | Y | Y | ||||||||
| 07-19-2019 | Eve | Y | No | ||||||||
| 07-20-2019 | Morn | Y | |||||||||
| 07-20-2019 | Day | Y | |||||||||
| 07-20-2019 | Eve | Y | N | No | |||||||
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 Library,(LV) Legal Visit, (U) Unit Team, (P) Psychology, (E) Education, (H) Haircut, (C) Chapel, (R) Recreation, (X) Property Issue, (V) Visit, (M) Medical, (C) Court, (O) Other – Yes (Y) if applicable / Enter Actual Time Period Start and End (i.e., 0930 – 1030 hrs) 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)¶
Prescribed by P5270¶
PDF¶
This form replaces BP-292(52) dated AUG 2011.¶
EFTA00054980¶
| 07-15-2019 | Day shift comments: Health: Voices no medical complaints. |
| 07-16-2019 | Health: Voices no medical complaints. |¶
| :--- | :--- |¶
| 07-17-2019 | Day shift comments: Health: Voices no medical complaints. |
| Day shift comments: | |
|---|---|
| 07-18-2019 | Health: Voices no medical complaints |
| Day shift comments: |
|---|
| Health: Voices no medical complaints. |
07-19-2019¶
EFTA00054981¶
BP-A0292 APR 16¶
SPECIAL HOUSING UNIT RECORD¶
U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS¶
| Date | Shift | Meals | SH | Exercise | Out of cell time (Total minutes) | Comments | Medical Staff Sign | OIC Signature | ||
|---|---|---|---|---|---|---|---|---|---|---|
| B | D | S | ||||||||
| 07-21-2019 | Morn | Y | ||||||||
| 07-21-2019 | Day | Y | ||||||||
| 07-21-2019 | Eve | Y | ||||||||
| 07-22-2019 | Morn | Y | Y | No | 01:00 | |||||
| 07-22-2019 | Day | Y | ||||||||
| 07-22-2019 | Eve | Y | ||||||||
| Morn | ||||||||||
| Day | ||||||||||
| Eve | ||||||||||
| Morn | ||||||||||
| Day | ||||||||||
| Eve | ||||||||||
| Morn | ||||||||||
| Day | ||||||||||
| Eve | ||||||||||
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 Library,(LV) Legal Visit, (U) Unit Team, (P) Psychology, (E) Education, (H) Haircut, (C) Chapel, (R) Recreation, (X) Property Issue, (V) Visit, (M) Medical, (C) Court, (O) Other – Yes (Y) if applicable / Enter Actual Time Period Start and End (i.e., 0930 – 1030 hrs) 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)¶
Prescribed by P5270¶
PDF¶
This form replaces BP-292(52) dated AUG 2011.¶
EFTA00054982¶
BP-A0292 APR 16¶
SPECIAL HOUSING UNIT RECORD¶
U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS¶
| Date | Shift | Meals | SH | Exercise | Out of cell time (Total minhrs) | Comments | Medical Staff Sign | OIC Signature | |||
|---|---|---|---|---|---|---|---|---|---|---|---|
| B | D | S | |||||||||
| Morn | Y | ||||||||||
| Day | |||||||||||
| Eve | Y | N | |||||||||
| 07-29-2019 | Morn | Y | |||||||||
| 07-29-2018 | Day | ||||||||||
| Eve | Y | N | |||||||||
| 07-30-2019 | Morn | Y | |||||||||
| 07-30-2018 | Day | Y | N | Ref | See 2nd page | ||||||
| 07-30-2019 | Eve | Y | No | ||||||||
| 07-31-2019 | Morn | Y | |||||||||
| 07-31-2019 | Day | Y | Y | 06:30/07:30 O | 02:00 | See 2nd page | |||||
| 07-31-2019 | Eve | Y | |||||||||
| 08-01-2019 | Morn | Y | |||||||||
| 08-01-2019 | Day | Y | N | Ref | See 2nd page | ||||||
| 08-01-2019 | Eve | Y | No | ||||||||
| 08-02-2019 | Morn | Y | |||||||||
| 08-02-2019 | Day | Y | Y | No | 01:00 | See 2nd page | |||||
| 08-02-2019 | Eve | Y | No | ||||||||
| 08-03-2019 | Morn | Y | |||||||||
| 08-03-2019 | Day | Y | |||||||||
| 08-03-2019 | Eve | Y | N | No | |||||||
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 Library,(LV) Legal Visit, (U) Unit Team, (P) Psychology, (E) Education, (H) Haircut, (C) Chapel, (R) Recreation, (X) Property Issue, (V) Visit, (M) Medical, (C) Court, (O) Other – Yes (Y) if applicable / Enter Actual Time Period Start and End (i.e., 0930 – 1030 hrs) 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)¶
PDF¶
Prescribed by P5270¶
This form replaces BP-292(52) dated AUG 2011.¶
EFTA00054983¶
| 07-30-2019 | Day shift comments: Health: Voices no medical complaints. |
| 07-31-2019 | Day shift comments: Health: Voices no medical complaints. |
| 08-01-2019 | Day shift comments: Health: Voices no medical complaints. |
| Day shift comments: | |
|---|---|
| 06-02-2019 | Health: Voices no medical complaints. |
EFTA00054984¶
BP-A0292 APR 16¶
SPECIAL HOUSING UNIT RECORD¶
U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS¶
| Date | Shift | Meals | SH | Exercise | Out of cell time (Total min/hrs) | Comments | Medical Staff Sign | OIC Signature | |||
|---|---|---|---|---|---|---|---|---|---|---|---|
| B | D | S | |||||||||
| 08-04-2019 | Mom | Y | |||||||||
| 08-04-2019 | Day | Y | |||||||||
| 08-04-2019 | Eve | Y | |||||||||
| 08-05-2019 | Mom | Y | |||||||||
| 08-05-2019 | Day | Y | |||||||||
| 08-05-2019 | Eve | Y | |||||||||
| 08-06-2019 | Mom | Y | |||||||||
| 08-06-2019 | Day | Y | |||||||||
| 08-06-2019 | Eve | Y | No | ||||||||
| 09-07-2019 | Mom | Y | |||||||||
| 08-07-2019 | Day | Y | |||||||||
| 08-07-2019 | Eve | Y | No | ||||||||
| 08-08-2019 | Mom | Y | |||||||||
| 08-08-2019 | Day | Y | |||||||||
| 08-08-2019 | Eve | Y | |||||||||
| Mom | |||||||||||
| Day | |||||||||||
| Eve | |||||||||||
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 Library,(LV) Legal Visit, (U) Unit Team, (P) Psychology, (E) Education, (H) Haircut, (C) Chapel, (R) Recreation, (X) Property Issue, (V) Visit, (M) Medical, (C) Court, (O) Other – Yes (Y) if applicable / Enter Actual Time Period Start and End (i.e., 0930 – 1030 hrs) 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)¶
Prescribed by P5270¶
PDF¶
This form replaces BP-292(52) dated AUG 2011.¶