EFTA00106356

## Suicide Watch Chronological Log

## Staff Suicide Watch Observers Only

Name of inmate on watch:

Epstein, J.



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


EFTA00106357

# 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 a+1:40AM



□ 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.

EFTA00106358

<table border="1"><tr><td colspan="4">Epstein Suicide Watch Observation Log</td></tr><tr><td colspan="4">Name of Inmate on watch: Reg #: 76318-054 Date: 72319</td></tr><tr><td>Time</td><td>Observations: Briefly note your observations. Initial all entries.</td><td>Initials</td><td></td></tr><tr><td>1:40AM</td><td>Inmate brought down to suicide cell#4</td><td></td><td></td></tr><tr><td>1:45AM</td><td>Inmate lying on bed</td><td></td><td></td></tr><tr><td>2:00AM</td><td>Inmate sitting on bed talking</td><td></td><td></td></tr><tr><td>2:15AM</td><td>Inmate states his cellmate tried to kill him</td><td></td><td></td></tr><tr><td>2:30AM</td><td>Inmate sitting on bed trying to remember what happened</td><td></td><td></td></tr><tr><td>2:45AM</td><td>Inmate sitting on bed</td><td></td><td></td></tr><tr><td>3:00AM</td><td>Inmate sitting on bed</td><td></td><td></td></tr><tr><td>3:15AM</td><td>takes pictures of inmate</td><td></td><td></td></tr><tr><td>3:30AM</td><td>Inmate sitting on bed</td><td></td><td></td></tr><tr><td>3:45AM</td><td>Inmate sitting on bed</td><td></td><td></td></tr><tr><td>4:00AM</td><td>Inmate sitting on bed</td><td></td><td></td></tr><tr><td>4:15AM</td><td>Inmate sitting on bed</td><td></td><td></td></tr><tr><td>4:30AM</td><td>Inmate standing at door talking</td><td></td><td></td></tr><tr><td>4:45AM</td><td>Inmate standing at door talking</td><td></td><td></td></tr><tr><td>5:00AM</td><td>Inmate sitting on bed</td><td></td><td></td></tr><tr><td>5:15AM</td><td>Inmate standing at door</td><td></td><td></td></tr><tr><td>5:30AM</td><td>Inmate standing at door</td><td></td><td></td></tr><tr><td>5:45AM</td><td>Inmate standing at door</td><td></td><td></td></tr><tr><td>6:00AM</td><td>Inmate standing at door</td><td></td><td></td></tr><tr><td>6:15AM</td><td>Inmate standing at door</td><td></td><td></td></tr><tr><td>6:30AM</td><td>Inmate standing at door</td><td></td><td></td></tr><tr><td>6:45AM</td><td>Inmate standing at door</td><td></td><td></td></tr><tr><td>7:00AM</td><td>Inmate standing at door</td><td></td><td></td></tr></table>

Note to all observers: Legibly print and sign your name at the beginning of your shift.

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