Suicide Watch Chronological Log¶
Inmate Companions Log¶
Name of inmate on watch:¶
Epstein¶
Register #:¶
7631E.054¶
Institution:¶
Date Watch Began / Ended¶
7|23|19¶
ONLY ITEMS ALLOWED:¶
Sack Meal¶
Booklet ___ of ___¶
To be completed by Chief Psychologist at conclusion of watch:¶
Suicide Smock/Slippers¶
Suicide Sleeping Bag¶
Suicide Mattress¶
Paper Cup¶
Tampons or¶
Soap¶
Foam Sanitarv Belt/Napkin¶
SWCL - INMATE¶
EFTA00106353¶
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: ___¶
Instructions to Observer:¶
Document your observations every ___ minutes.¶
Legibly print and sign your name at the beginning of your shift.¶
EFTA00106354¶
| Suicide Watch Observation Log | |||
| Name of Inmate on watch: | Epstein | Reg #: 76318054 | Date: 723 |
| Time | Observations: Briefly note your observations. Initial all entries. | In | |
| 1:40am | I m Brought down to Suicide cell #4 | ||
| 1:45am | I m Trying on Bed | ||
| 2:00am | I m Sitting on Bed talking | ||
| 2:15am | I m States his cellmate tried to kill him | ||
| 2:30am | I m Sitting on Bed trying to remember what Happen | ||
| 2:45am | I m Sitting on Bed | ||
| 3:00am | I m Sitting on Bed | ||
| 3:15am | I7 Anderson takes pictures of me | ||
| 3:30am | I m Sitting on Bed | ||
| 3:45am | I m Sitting on Bed | ||
| 4:00am | I m Sitting on Bed | ||
| 4:15am | I m Sitting on Bed | ||
| 4:30am | I m Standing at Door talking | ||
| 4:45am | I m Standing at Door talking | ||
| 5:00am | I m Sitting on Bed | ||
| 5:15am | I m Standing at Door | ||
| 5:20am | I m Standing at Door | ||
| 5:15am | I m Standing at Door | ||
| 6:00am | I m Standing at Door | ||
Note to all observers: Legibly print and sign your name at the beginning of your shift.¶
1¶
EFTA00106355¶
| Suicide Watch Observation Log | ||
|---|---|---|
| Name of Inmate on watch: Reg #: Date: | ||
| Time | Observations: Briefly note your observations. Initial all entries. | Initials |
Note to all observers: Legibly print and sign your name at the beginning of your shift.¶
2¶