EFTA00056068¶
Suicide Watch Chronological Log¶
Staff Suicide Watch Observers Only¶
Name of inmate on watch:¶
Register #:¶
76318-054¶
Institution:¶
MCC New York¶
Date Watch Began / Ended¶
July 23,2019 - July 24,2019¶
To be completed by Chief Psychologist at conclusion of watch:¶
Booklet ___ of ___¶
SWCL - STAFF¶
EFTA00056069¶
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:¶
July 23, 2019 at 1:40 AM¶
□ This a continuation log book for this watch.¶
Enter date and time this watch book was initiated:¶
Instructions to Observer:¶
Document your observations every \underline{15} minutes.¶
Legibly print and sign your name at the beginning of your shift.¶
EFTA00056070¶
| Suicide Watch Observation Log | ||
| Name of inmate on watch: Reg #: 76318·054 Date: 72319 | ||
| Time | Observations: Briefly note your observations. Initial all entries. | Initials |
| 1:40AM | Inmate brought down to suicide cell#4 | |
| 1:45AM | Inmate lying on bed | |
| 2:00AM | Inmate sitting on bed talking | |
| 2:15AM | Inmate states his cellmate tried to kill him | |
| 2:30AM | Inmate sitting on bed trying to remember what happened | |
| 2:45AM | Inmate sitting on bed | |
| 3:00AM | Inmate sitting on bed | |
| 3:15AM | Lt. Anderson takes pictures of inmate | |
| 3:30AM | Inmate sitting on bed | |
| 3:45AM | Inmate sitting on bed | |
| 4:00AM | Inmate sitting on bed | |
| 4:15AM | Inmate sitting on bed | |
| 4:30AM | Inmate standing at door talking | |
| 4:45AM | Inmate standing at door talking | |
| 5:00AM | Inmate sitting on bed | |
| 5:15AM | Inmate standing at door | |
| 5:30AM | Inmate standing at door | |
| 5:45AM | Inmate standing at door | |
| 6:00AM | Inmate standing at door | |
| 6:15AM | Inmate standing at door | |
| 6:30AM | Inmate standing at door | |
| 6:45AM | Inmate standing at door | |
| 7:00AM | Inmate standing at door | |
Note to all observers: Legibly print and sign your name at the beginning of your shift.¶
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