Suicide Watch Chronological Log¶
Inmate Companions Log¶
Name of inmate on watch:¶
Epstein¶
Register #:¶
74318.054¶
Institution:¶
Date Watch Began / Ended¶
7 | 23 | 19¶
ONLY ITEMS ALLOWED:¶
To be completed by Chief Psychologist at conclusion of watch:¶
Booklet ___ of ___¶
Sack Meal¶
Suicide Smock/Slippers¶
Suicide Sleeping Bag¶
Suicide Mattress¶
Paper Cup¶
Soap¶
Tampons or¶
Foam Sanitary Belt/Napkin¶
SWCL - INMATE¶
EFTA00120189¶
STAPLE LOCAL PROCEDURES HERE¶
Check one of the following:¶
$$\Box $$ This is the initial log book for this suicide watch.¶
Enter date and time watch began: ___¶
$$\Box $$ 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.¶
EFTA00120190¶
Suicide Watch Observation Log¶
| Name of Inmate on watch: | Eustein | Reg #: 74318054 | Date: 72 |¶
| :--- | :--- | :--- | :--- |¶
| Time | Observations: Briefly note your observations. Initial all entries. |¶
| :--- | :--- |¶
| 1:40 AM | I m Brought down to Suicide call #4 |¶
| 1:45 AM | I m Trying on Bed |¶
| 2:00 AM | I m Sitting on Bed talking |¶
| 2:15 AM | I m Stalks his cellmate tried to kill him |¶
| 2:30 AM | I m Sitting on Bed trying to remember what Happen |¶
| 2:45 AM | I m Sitting on Bed |¶
| 3:00 AM | I m Sitting on Bed |¶
| 3:15 AM | takes pictures of me |¶
| 3:30 AM | I m Sitting on Bed |¶
| 3:45 AM | I m Sitting on Bed |¶
| 4:00 AM | I m Sitting on Bed |¶
| 4:15 AM | I m Sitting on Bed |¶
| 4:30 AM | I m Standing at Door talking |¶
| 4:45 AM | I m Standing at Door talking |¶
| 5:00 AM | I m Sitting out bed |¶
| 5:15 AM | I m Standing at Door |¶
| 5:30 AM | I m Standing at Door |¶
| 5:45 AM | I m Standing at Door |¶
| 6:00 AM | I m Standing at Door |¶
Note to all observers: Legibly print and sign your name at the beginning of your shift.¶
1¶
EFTA00120191¶
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¶
EFTA00120192¶
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 1:40AM¶
□ This a continuation log book for this watch.¶
Enter date and time this watch book was initiated:¶
Instructions to Observer:¶
Document your observations every ___ minutes.¶
Legibly print and sign your name at the beginning of your shift.¶
EFTA00120193¶
| Epstein Suicide Watch Observation Log | ||
| Name of Inmate on watch: Reg #: 76318-054 Date: 712319 | ||
| 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 | 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.¶
1¶
EFTA00120194¶