EFTA00056058¶
Suicide Watch Chronological Log¶
Inmate Companions Log¶
Name of inmate on watch:¶
76318-054¶
To be completed by Chief Psychologist at conclusion of watch:¶
Booklet of¶
ONLY ITEMS ALLOWED:¶
Suicide Smock/Slippers¶
Suicide Blanket¶
Suicide Mattress¶
Paper Cup/Soap¶
SW Paper Spoon¶
Finger Toothbrush¶
Tampons or Foam Belt/Napkin¶
SWCL · INMATE¶
EFTA00056059¶
STAPLE LOCAL PROCEDURES HERE¶
Check one of the following:¶
□ This is the initial log book for this suicide watch.¶
Enter date and time watch began:¶
This is a continuation log book for this watch.¶
Enter date and time this watch book was initiated:¶
7:23:09 17:00am¶
Instructions to Observer:¶
Document your observations every 15¶
Legibly print and sign your name at the beginning of your shift.¶