Text extracted via OCR from the original document. May contain errors from the scanning process.
Inmate Investigative Report
Institution: New York MCC
Case Number: NYM-19-0061
Investigation Type: Investigative / Threat Assessment
Inmates Involved:
Register Number
Name
Role
Not Known
Not Known
Staff Involved:
Name
"No information was found for the given criteria."
Others Involved:
Name
"No information was found for the given criteria."
Title
Title
;
U.S. Deparl ent of Justice
Federal Su au of Prisons
Investigator:
Captain:
Associate Warden:
Warden:
SBU - Sensitive But Unclassified
Page 1 of 5
FOIA Exempt
EFTA00019348
Summary:
On July 23, 2019 at approximately 1:27 a.m., while making routine rounds inside the Special Housing Unit, staff
observed inmate Epstein, Jeffrey Reg. No. MOM
lying in the fetal position on the floor with a homemade
fashioned noose around his neck. Inmate Epstein was breathing heavily, however appeared to be responsive.
Inmate Epstein was directed by staff to stand and submit to restraints. Inmate Epstein would not stand on his own
and would not comply with staff directives. Staff entered the cell and placed inmate Epstein in both hand and leg
restraints. Inmate Epstein was searched, metal detected, placed on a gurney and escorted from the scene without
further incident. Inmate Epstein was photographed, medically examined and determined to have sustained a circular
line of erythema at the base of the neck and friction marks on the front of neck, and small 2cm erthema on left knee.
Inmate Epstein was placed on suicide watch with all necessary notifications made. There were no staff injuries
reported.
Inmate Data:
r.
Name:
Role: Not Known
Security Level: UNASSG
Facility Arrival Date: 7/7/2019
Charges:
Description
No Charges Found
STGs:
Name:
Role: Not Known
Security Level: UNASSG
Facility Arrival Date: 1/23/2018
Charges:
Description
- EPSTEIN, JEFFREY
No Charges Found
STGs:
Victim Statements:
**No information was found for the given criteria.**
Assailant Statements:
**No information was found for the given criteria.**
Age: 66
Race: WHITE
Custody Level: IN
Projected Release Date:
Sentencing District
CIMs:
No CIMs Found
- TARTAGLIONE, NICHOLAS
Age: 51
Race: WHITE
Custody Level: IN
Projected Release Date:
Sentencing District
CIMs:
SEPARATION
SBU - Sensitive But Unclassified
Page 2 of 5
FOIA Exempt
EFTA00019349
Other Statements:
Interviewer:
Interviewee:
- EPSTEIN, JEFFREY
Location: Receiving And Discharge
Title: LIEUTENANT
On July 31, 2019, at approximately 9:10 AM., inmate Epstein, Jeffrey; Reg. No.
was interviewed
the Receiving
and Discharge Area. During the interview Epstein stated he did not have any sleep in approximately twenty d
and he was
extremely tired the night he was found on the floor. Epstein stated he got up off his bed at approximately 1:3O .M.. to get a drink
of water, and all he can recall is being on the floor and hearing someone snorin that's when he realized the
ng was coming
from him. Epstein alleged that his cell mate Tartaglione, Nicholas; Reg. No.
was on the floor sleepi g at the time.
Epstein stated he has never had any Issues with Tartaglione, he is not three one
y artaglione. and he do not want to make up
something that isn't there. Additionally, Epstein stated he can recall an incident that occurred two days prior whOn Tartaglione
went out to court and when Tartaglione returned he was upset. Epstein stated he attempted to talk to Tartaglione and Tartaglione
called him a pedophile. Epstein also stated he knew Tartaglione was upset and he let him cool off. Epstein stated he does not
have any issues with Tartaglione and he feels safe being housed with Tartaglione. Epstein stated he does not feel suicidal, he
has a new cell mate whom he gets along with, and he is able to sleep now that he has his C-Pap machine. Epstein stated if he
remembered anymore details he would reach out to staff or Psychology.
Location: SHU All Other
Interviewer:
Title: LIEUTENANT
Interviewee:
- TARTAGLIONE, NICHOLAS
On July 31, 2019, at approximately 10:00 A.M., inmate Tartaglione, Nicholas; Reg. No.
was inte
ed in the
Special Housing Unit. During the interview Tartaglione stated he was asleep on the floor insi
is cell, his lead was covered
with a sheet, and he had his headphones in his ear when he felt something hit his foot. Tartaglione stated when he uncovered his
head he observed Epstein, Jeffrey; Reg. No.
sitting on the floor in the corner with his eyes open. Tartaglione stated
he began to call Epstein's name and when Eps e n i not answer he began to bang on the door for the officer. Tartaglione stated
he thought Epstein was having a heart attack because his eyes was open and he appeared to be snoring. Tartaglione stated he
does not have any issues being housed with Epstein although he keeps his conversation to a minimal. Tartaglione stated he does
not understand Epstein's motive and what he Is trying to do. Tartaglione stated previously during one of their conversations
Epstein made him uncomfortable when Epstein stated' fourteen (14) is legal in most states and I don't understand what's the
problem here. Additionally, Tartaglione stated Epstein normally paces the cell and complains about his attorney's not doing their
Job and he needs to fire them. Tartaglione stated he does not have any issues being housed with Epstein however he does not
want to be involved with any plots Epstein have in mind in order to try to get released.
Factual Findings:
"No item information was found for the given criteria."
SBU - Sensitive But Unclassified
Page 3 of 5
I
FOIA Exempt
EFTA00019350
Type
Subtype
File Name
Original Entered By
Inmate Discipline
Administrative Detention Order ADO.pdf
TF18813
Detention Order dated July 10, 2019, placing Epstein, Jeffrey; Reg. No.
, in Administrative Detention
pending classification.
Inmate Discipline
Incident Report
INMATE EPSTEIN
TF18813
IR.pdf
On July 23, 2019, staff wrote Epstein an incident report for code 228- Self Mutilation.
Medical
Inmate Assessments
MEDICAL
TF18813
ASSESSMENT.pdf
SW
, 2019, a medical assessment was conducted on Inmate Epstein, Jeffrey; Reg. No.
, by
MLP. During the assessment Epstein was identified with a circular line of erythema a
I lse of his
neck rea ing 2/3 of the neck circumference, 2 inches wide, sparing the back of the neck. Additiona ly, one section
of this erythema In the front has marks of friction, and Epstein was observed with a small erythema on the left
knee about 2cm in diameter(mild). During the assessment Epstein denied any respiratory problems and Epstein
denied any pain or discomfort.
Statements & Written
Operation's Lieutenant
OPS LT MEMO.pdf
TF18813
Memorandums
On July 23, 2019, at approximately 1:27 A.M., the Operations Lieutenant submitted a memorandum which
indicated the Control Center Officer requested assistance in the S
' IHousing Unit Upon enterin the Special
Housing Unit staff made notification that Epstein, Jeffrey; Reg. No.
, was observed laying in a fetal
position on the floor. Epstein was removed from the Special Housing Unit and escorted to the Health Services
Area.
Medical
Inmate Assessments
TARTAGLIONE
TF14688
MEDICAL.pdf
1 2019, a medical assessment was conducted on inmate Tartaglione, Nicholas; Reg. No. 7W es , by
Ita
S
.
, PA-C. During the assessment Tartaglione was not identified with any injuries by Health
Photographs
Contraband
PHOTOGRAPH OF
TF14688
HOMEMADE
ROPE.pdf
PHOTOGRAPH OF HOMEMADE ROPE ECN#NYM-19-0147
Evidence Control
Chain Of Custody
CHAIN OF
TF14688
CUSTODY.pdf
Conclusion:
No.
On July 23, 2019 at approximately 1:27 a.m. w i
king routine rounds inside the Special Housin Unit, staff
observed inmate Epstein, Jeffrey Reg. No.
, lying in the fetal position on the floor with a
memade
fashioned noose around his neck. Inmate pstein was breathing heavily, however Epstein appea
to be
responsive. Inmate Epstein was directed by staff to stand and submit to restraints. Inmate Epstein
uld not stand
on his own and would not comply with staff directives. Staff entered the cell and placed inmate Epst in in both hand
and leg restraints. Inmate Epstein was searched, metal detected, placed on a gumey and escorted om the scene
without further incident. Inmate Epstein was photographed, medically examined and determined to ave sustained a
circular line of erythema at the base of the neck and friction marks on the front of neck, and small 2
erythema on
left knee. Inmate Epstein was placed on suicide watch with II necessary notifications made. On Ju 31, 2019, at
approximately 9:10 A.M., inmate Epstein, Jeffrey; Reg. No.
, was interviewed in the Rece ving and
Discharge Area by SIS Staff. During the interview Epstein s e
e id not have any sleep in appro imately twenty
days and he was extremely tired the night he was found on the floor. Epstein stated he got up off hi bed at
approximately 1:30 A.M., to get a drink of water, and all he can recall is being on the floor and heart g someone
snoring that's when
reali
the snoring was coming from him. Epstein alleged that his cell mate artaglione,
Nicholas; Reg. No.
, was on the floor sleeping at the time. Epstein stated he have never ad any issues
with Tartaglione, he is not t reatened by Tartaglione, and he do not want to make up something tha isn't there.
Additionally, Epstein stated he can recall an incident that occurred two days prior when Tartaglione ent out to court
and when Tartaglione returned he was upset. Epstein stated he attempted to talk to Tartaglione and Tartaglione
SBU - Sensitive But Unclassified
Page 4 of 5
FOIA Exempt
EFTA00019351
called him a pedophile. Epbtein also stated he knew Tartaglione was upset and he let him cool off.
stein stated he
does not have any issues with Tartaglione and he feels safe being housed with Tartaglione. Epstein stated he does
not feel suicidal, he has a new cell mate, and he is able to sleep now that he has his C-Pap machln . Epstein stated
if he remembered anymore details he would reach out to staff or Psychology.
interviewed by SIS Staff in the Special Housing Unit. During the interview Tartaglione stalin'asleep
on the
On July 31, 2019, at approximately 10:00 A.M., inmate Tartaglione, Nicholas; Reg. No.
was also
floor inside of his cell, his head was covered with a sheet, and he had his headphones in his ear when he left
hit his foot Tartaglione stated when he uncovered his head he observed Epstein, Jeffrey Reg. No.
sitting on the floor in the corner with his eyes open. Tartaglione stated he began to call Epstein's name
and when Epstein did not answer he began to bang on the door for the officer. Tartaglione stated he thought Epstein
was having a heart attack because his eyes was open and he appeared to be snoring. Tartaglione stated he does
not have any issues being housed with Epstein although he keeps his conversation to a minimal. Tartaglione stated
he does not understand Epstein's motive and what he is trying to do but previously during one of their conversations
Epstein made him uncomfortable when Epstein stated " fourteen (14) is legal in most states and I don't understand
what's the problem here°. Additionally, Tartaglione stated Epstein normally paces the cell arid complains about his
attorney's not doing their job and he needs to fire them. Tartaglione stated he does not have any issixits being
housed with Epstein however he does not want to be involved with any plots Epstein may have in mind in order to
try to get released. As a result of a threat assessment being conducted a medical assessment was onducted on
inmate Tartaglione and Tartaglione was not identified with any Injuries. Based on the information retleived
throughout the course of the investigation there is insufficient evidence to support Epstein was assaulted by
Tartaglione. Additionally, based on the fact that during the interview with SIS staff Epstein indicated that he does not
feel threatened by Tartaglione, and he has a new cell mate whom he get along with it cannot be determined that
Epstein safety is in jeopardy at MCC New York.
Recommendation:
Based on the information received and the fact thatateigeffrey; Reg. No.
indicated that he does not
feel threatened by Tartaglione, Nicholas; Reg. No.
there are no CIMment
of Separations
warranted at this time.
CIMS Separation Warranted: No
SBU - Sensitive But Unclassified
Page 6 of 6
FOIA Exempt
EFTA00019352
NEW YORK
REG. NO.
583 REPORT OF
INCIDENT
NYM-19-0076
EFTA00019353
Form 583 Report of Incident
Incident
NYM-19-
Submitted By:
C076
Date/Time Of Incident 7/23/2019 127 AM
Section 1: General Information
Staff Aware Date: 7/23/2019 1:27 AM
FBI Notified: No
USMS Notified:
Location Level 1: SHU
Type•Ot Incident
K Assault On Inmate
K Assault On Staff
K Assault, Attempted On Inmate
K Assault, Attempted On Staff
K Disruptive Behavior
K Escape From Non-secure Facility
K Escape From Secure Facility
K Escape, Attempted From Non-secure Facility
K Escape, Attempted From Secure Facility
K Fight
K Inmate Death
K Institution Disturbance
K Introduction Of Contraband
K Lethal Weapons Discharge
K Self Mutilation
K Setting A Fire
K Sexual Act, Non-consensual On Inmate
K Sexual Assault On Staff
K Sexual Contact, Abusive On Inmate
K Sexual Harassment. Repetitive
K Staff Homicide
K Strike, Food
K Strike. Work
El Suicide Attempt
K Use Of Force
K Use Of Force/Applications Of Restraints
K Use of Restraints, PregnanVPostpartum
Method: Hanging/Asphyxiation
No
Indicate Where Incident Occurred: Main Facility
Level 2: Housing Unit, Special (SHU)
Level 3: 9 SOUTH SHU
Institution Locked Down: No
Modified Operations: No
Cause Of Incident Known? No
Cause Of Incident
K Alcohol
K Commissary
K Debts
K Disrespect Issue
• Drugs
K Ethnic Conflict
K Food Issue
K Geographical Conflict
K Interfering with Staff duties
K Property Issue
K Racial Conflict
K Recreation Equipment
K Religious Issue
K Security Threat Group Conflict
K Sexual Pressure
K Sporting Events
K Telephone
K Theft
K Visiting
K Work Issue
Section 2: Inmates Involved
This document is marked Unclassified/Limited Official Use Only/Law Enforcement Sensitive and may be disseminated, with proper
attribution, to active Law Enforcement, DOD. or U.S. Intelligence Agencies. This document or any segment/attachment thereof. may
not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity, the general
public or those without a 'need to know.' It contains Information that may be exempt from public release under the provisions of the
Privacy Act (5 U.S.C. 552).
1 of 3
EFTA00019354
Form 583 Report of Incident
Incident #: NYM-19-
0076
Submitted By:
Date/Time Of Incident: 7/23/2019 1:
AM
Reg Si:
Role: Victim
Weapon (per inmate):
CIMS: No
Restraints (per inmate)
Death (per inmate):
Reg
Role: Not Known
Weapon (per Inmate):
CIMS: Yes
Name: EPSTEIN, JEFFREY
Medical Attention Required: No
No
Use of Force (per inmate): No
Chemical Used (per inmate): No
STG: Yes
: Escort Only
No
Name: TARTAGLIONE, NICHOLAS
Medical Attention Required: No
No
Use of Force (per inmate): No
STG: Yes
Restraints (per inmate): No
Death (per inmate):
No
Injury Category: Minor Injury
Injury Category: No Injury
Chemical Used (per inmate): No
Name:
Medical Attention Required: No
Injury Category: No Injury
Sexual Assault: No
Name: M,
Medical Attention Required: No
Injury Category: No Injury
Sexual Assault: No
Name:
M
.
Medical Attention Required: No
Injury Category: No Injury
Sexual Assault No
Name:
Medical Attention Required: No
Injury Category: No Injury
Sexual Assault: No
Name: M.
Medical Attention Required: No
Injury Category: No Injury
Sexual Assault: No
Name:
Medical Attention Required: No
Death: No
Section 3: Others Involved
Person Type: Staff
Death: No
Staff Injury by Inmate: No
Person Type: Staff
Death: No
Staff Injury by Inmate: No
Person Type: Staff
Death: No
Staff Injury by Inmate: No
Person Type: Staff
Death: No
Staff Injury by Inmate: No
Person Type: Staff
Death: No
Staff Injury by Inmate: No
Person Type: Staff
This document is marked UnclassreedlUmbed Mier Use Only/Law Enforcement Sensrove and may be disseminated, with proper
attribution. to active Law Enforcement DOD, or U.S. Intelligence Agencies. This document, or any segment/attachment thereof., may
not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity. the general
public or those without a *need to know." It contains information that may be exempt hom public release under the provisions of the
Privacy Act (5 U.S.C. 552).
2 of 3
EFTA00019355
Form 583 Report of Incident
Incident it: NYM-19-
Submitted By:
Ir
S
N
N
D
a
c
H
C
F.
N
Date/Time Of Incident: 7/23/2019 1:27 AM
l$VIV
ijury Category: No Injury
Staff Injury by Inmate: No
exual Assault: No
Section 4: Lethal Weapon Discharge
o data found.
Section 5: Use of Force
0 data found.
Section 6: Description of Incident
ESCRIPTION OF INCIDENT (If Use Of Force, include details such as name of supervisor applying the the
gent and/or restraints, reasons for use of hard restraints Instead of soft restraints, etc.) Please be clear a
3use(s) of the incident in your description.
n July 23, 2019 at approx. 1:27 a.m., a call for assistance on the Special Housing Unit was announced by the
enter. Upon my arrival I was inf
n inmate had attempted suicide and proceeded to cell, Z05-124LAD
nerved inmate Epstein, Jeffrey
lying in the fetal position on the floor of his cell wearing a t-shirt and
e was breathing heavily and was snoring. I called out to inmate Epstein and observed him flicker his eyes and
losing. His neck was red with no abrasions. I observed no further injuries to his person. An attempt was made t
e inmate to stand on his own with negative results. The inmate was placed in hand restraints and staff was dir
itrieve the stretcher. As inmate Epstein was being placed on the stretcher by responding staff, he would open his
id observe staff. When staff made eye contact with him, he would hurriedly shut his eyes. The inmate was taken
A-Unit, dressed in the suicide smock and placed on suicide watch.
pon the arrival of medical staff, inmate Epstein was examined and treated by, MLP
for a circular line of
ythema at the base of the neck, one section on the front with marks of friction and a sma erythema on his left
ical
out
trot
I
xers.
ntinue
get
ed to
eyes
to
Section 7: Attachments
le Date
Fl
.enterecitai
7:W
a
o data found.
Approved By: NOT COMPLETED
4641.
UNCLASSIF1ED/LJMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE
This document is marked Unclassified/LimIted Official Use Only/Law Enforcement Sensitive and may be disseminated, with proper
attribution, to active Law Enforcement, DOD, or U.S. Intelligence Agencies. This document or any segment/attachment thereof., may
not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity, the general
public or those without a 'need to know.' It contains information that may be exempt from public release under the provisions o the
Privacy Act (5 U.S.C. 552).
3 of 3
EFTA00019356
FROM:
SUBJECT:
Memorandum
Metropolitan Correctional Center
150 Park Row
New York New York 10007
July 23, 2019
Operations Lieutenant
Possible Suicide Attempt
On July 23, 2019 at approx. 1:27 a.m., a call for assistance on the Special Housing Unit
was announced by the Control Center. Upon my arrival I was informed that an inmate
had attempted suicide and roceeded to cell, Z05-124LAD. I observed inmate
Epstein, Jeffrey
lying in the fetal position on the floor of his cell wearing a
t-shirt and boxers. He was breathing heavily and was snoring. I called out to inmate
Epstein and observed him flicker his eyes and continue snoring.
His neck was red
with no abrasions. I observed no further injuries to his person. An attempt was made
to get the inmate to stand on his own with negative results. The inmate was placed in
hand restraints and staff was directed to retrieve the stretcher. As inmate Epstein was
being placed on the stretcher by responding staff, he would open his eyes and observe
staff. When staff made eye contact with him, he would hurriedly shut his eyes. The
inmate was taken to HA-Unit, dressed in the suicide smock and placed on suicide
watch. While awaiting the arrival of an inmate companion, inmate Epstein sat on the
edge of the bed and began moving forward as if he was attempting to fall over head
first. When I looked away, he straightened up. As I turned to look at him again, he
attempted the same act. I laid him down on the bed and directed him to cease his
action or he would be placed in restraints for his safety. At that moment, he stated,
"Okay, I won't do it again," and gave the thumbs up. Because of his unpredictable
behavior, the decision was made to have a staff member observe inmate Epstein. I
left HA-Unit in order to make staff notifications. Moments later, I spoke with Officer
R
who stated that inmate E stein was alert and had indicated that his cellmate,
hone, Nicholas
had attempted to kill him and had been harassing
him. He stated that the inmate had indicated that he'd informed his attorney of this
matter.
I photographed and spoke with inmate Tartaglione, Nicholas
who stated
that he was asleep with his headphones on when he felt something ha his legs and
said, "Jeff, what you're doing?" He didn't answer, so he got up, turned on the light and
saw him with a string around his neck. He stated that he then called the guards and
ASensitive Limited Official Use Only=
EFTA00019357
'a,
1
EFTA00019358
they ran down. Upon fi....rier questioning, inmate Tartaglione ..sated that he sleeps on
the bottom bunk, but gave it to inmate Epstein because he's old. He stated that he
sleeps on the floor on a mattress. He stated that when he got up, he couldn't
remember if he sat up or stood up to check on Epstein. He stated that Epstein was
sitting on the floor leaning to the side with his eyes opened, but wasn't responding. He
stated that the last time he saw him he was snoring really loud.
Inmate Epstein stated that he came in from a legal visit at approx. 8:00PM and staff
handed him a copy of the Daily News. "Nick" was on the floor reading the Daily News.
He stated that he had given it to him. He stated that Tartaglione mentioned that he'd
been in court all day in Westchester and was carrying on. At that point, inmate
Tartaglione paused as if he was making the story up as he went along, and stated that
Tartaglione stated, "These fucking niggers. This place is inhumane, I wish I could
report it. I
), that nigger hobbit mother fucker." He then turned to a page in
the Daily News that had his picture on it and stated that Epstein was worth seventy
seven million dollars. Epstein stated that he took his picture, balled it up and threw it in
the garbage. I asked inmate Epstein what happened prior to staffs arrival. He stated
that at approx. 1:00 AM, he'd gotten up to get a drink of water, as he gets up every
thirty minutes. He remember walking back to his bunk and waking up with staff there
in his cell. I asked if he'd waken up and seen staff, why didn't he respond when we
were calling out to him? He stated that he only remembered hearing himself making a
noise like snoring. When asked about the allegations against his cellmate, he stated
that he was told, if he hurt him, staff wouldn't care.
Duty medical, Dr.
was notified and briefed. It was determined no further
medical attention was needed. A medical assessment was not conducted at the time
of this incident, due to the fact, there was no medical staff available after 10:00 PM.
witill
U on the arrival of medical staff, inmate Epstein was examined and treated by, MLPI.
for a circular line of erythema at the base of the neck, one section on the front
marks of friction and a small erythema on his left knee.
ASensitive Limited Official Use Oita'
EFTA00019359
fra•
fins
EFTA00019360
MEMORANDUM
DATE: 07
TO: Ops
FROM:
SUBJECT: Suicide Attempt Inmate
Metropolitan Correctional Center, New York, New York
On the above date at approx. I:27am While working in the Special Housing Unit Myself
d S/O
heard noise coming from the M tier Cell 124. Upon arrival inmate Epstein's cell mate (Urn
Tartaglione a)
was at the door stating I/M Epstein
had attempted to hang himself.
I kept a visual while Officer
grabbed door keys and..or
assistance. After securing UM
Tartaglione and removing him from the cell, I entered then placed UM Epstein on his side and removed
an orange homemade rope from his neck. I/M was breathing at this time, But unresponsive. As I began
chest compressions addition staff and Ops Lt
arrived, I/M was then removed from the Special
Housing Unit without further incident.
EFTA00019361
EFTA00019362
MEMORANDUM
Metropolitan Correctional Center, New York, New York
DATE: July 23, 2
TO:
Operations Lieytett nt, LT
PROM: OM
Senior Officer iserZiltr
—
SUBJECT: Inmate Epstein reg#'
On July 23, 2019 at approximately 1:27 AM while assigned to the Special Housing Unit, myselfand Senior Officer
Specialist
heard some noises coming from M Tier. Upon checking cell Z05-124 I observed inmate Epstein
reg#
laying down near his bunk with what appeared to be a piece of handmade orange cloth around his
neck. I immediately called Control Center for staff assistance. Officer
kept a visual of inmate Epstein while I
proceeded to retrieve the door keys and the cutter from the main cabinet located in the MM. Officer
applied
restraints to his cell mate inmate Tartaglione reef
I secured inmate Tartaglione inside the bathroom while
Officer
provided assistance to inmate Epstein. When additional staffarrived inmate Epstein was removed from
his cell without further incident.
EFTA00019363
n
Pas
EFTA00019364
MEMORANDUM
CM,
TO:
FROM:
SUBJECT:
Metropolitan Correctional Center, New York, New York
July 23, 2019
On July 23, 2019 at approximately 1:27, I, S.O.S
responded to a body alarm on the
S ecial Housing Unit. While the 9-South officer was conducted rounds inmate Epstein, Jeffrey
was found in his cell with
nd his neck and appeared to be unresponsive.
I assisted with taking inmate Epstein Mfrom
his cell and putting him on a stretcher.
The inmate was taken to the second floor and placed on suicide watch, where he was monitored by
staff. Moments afterwards, inmate Epstein became responsive. While observing inmate Epstein
he sat u
on the bed and began telling me that he think his Bunkie, Tartaglione, Nicholas
tried to kill him. Inmate Epstein also stated that his Bunkie also tried to extort
money from him and stated that if he didn't pay hint that he would beat him up. He stated that
this has been going on for a week. I asked inmate Epstein if he told staff about this and he told
me no, that he'd only told his lawyer. He went on to say that his Bunkie told him that if he beat
him up, because of his charges, the officers would not report it and because of this he was not
comfortable telling the officers about the prolong threats and alleged attempts to extort him. I
immediately reported this to the lieutenant.
EFTA00019365
EFTA00019366
MEMORANDUM
Metropolitan Correctional Center, New York, New York
DATE:
July 23
TO:
FROM:
SUBJECT:
Epstein, Jeffrey
ations Lieutenant
At approximately 1:27AM, I responded to a radio transmission asking for staff assistance
on 9 South (Special Housing Unit). Once I was granted access to said unit I made my way to the
location (M Tier) in which the disturbance stemmed from. I was told by Officer W.
that
Epstein, Jeffrey I/M#
has attempted to han himself. Upon arrival to cell number 124
in which lie was housed, I noticed J. Epstein I/M#
on the floor and Officer J.
placing restraints on him. Officer D.
, Lt.
and I entered said cell attempting to
assist in said process.
Now that I am inside of the cell I notice that J. Epstein I/M#
was snoring on the
floor of his cell, lie appeared to be asleep. We made several verbal commands for him to wake up
and attempted to get him to his feet but they were all unsuccessful. After said attempts Lt.
asked for a stretcher to be retrieve to safely remove him out of his cell. Once the
stretcher arrived, Officer D.
, Officer J.
and I lifted J. Epstein UM#
off
the floor and placed him on the stretcher. Once we secured him safely on the stretcher, Officer D.
and I lifted J. Epstein UM#
who is now on the stretcher safely out of ? South
(Special Housing Unit) and into the awaiting elevator.
EFTA00019367
es
rs
EFTA00019368
UNITEL 'TATES GOVERNMENT
Memorandum
Metropolitan Correctional Center
150 Park Row
FROM:
SUBJECT:
July 23, 2019
, Material Handler Supervis
Possible Suicide Attempt
on,
On July 23, 2019 at approx. 1:27 a.m., the Control Center announced a call for
assistance on th
pecial Housing Unit. Upon my arrival to 9-South, UM Epstein,
Jeffrey
was lying on the floor of his cell handcuffed. I assisted with
carrying inmate pstein to HA-Unit on a stretcher, where he was dressed in a suicide
smock and placed on Suicide Watch observation with staff.
ASensitive Limited Official Use Only=
EFTA00019369
n
PM
ES
EFTA00019370
MCC NEW YORK
NEW YORK, NY
Daily Assignment Roster
6 07:00 - 15:00
Post
Split Shift
2 00:00 • 08:00
3 06:00 - 14:00
8 08:00 - 16:00
Tuesday July 23, 2019
Pago 1
9 12:00 - 20:00
10 14:00 - 22:00
12 16:00 -00:00
CAPTAIN
CAPTAIN SEC
OPS LT
ACT LT
AOMIN LT
SHU LT
SIS LT
SIS LT #2
SIA
SIS TECH #1
SIS TECH #2
PHONE MONITOR
SEC OFFICER #1
SEC OFFICER #2
TOOL ROOM
SEARCH OFFICER
2 SALLY OFF
3 SALLY OFF
LOBBY
CONTROL #1
CONTROL #2
INTERNAL
INTERNAL #2
ATTY CONF
UNIT 2
UNIT 3
5 NORTH
5 SOUTH
7 NORTH
7 SOUTH
9 NORTH
SHU #1
SHU #2
SHU #3
SHU #4
10 SOUTH #1
10 SOUTH #2
7/23/2019 7:02:27 AM
EFTA00019371
ems
,foo
EFTA00019372
Tuesday July 23, 2019
Page 2
REC OFFICER a1
REC OFFICER #2
11 NORTH
11 SOUTH
11 SOUTH #2
REAR GATE
VISIT 01
VISIT #2
VISIT #3
""Special Assignments•"'
EPO OFFICE
ESCORT OFF #1
ESCORT OFF #2
LOBBY #2
PHONE RM
9 <unassigned>
TOWN DRIVER
SUICIDE WATCH
8 <unassigned
12 <unassigned>
""Back Page Categories""
DAY OFF
ANNUAL LEAVE
LWOP
LWOP(M)
AWOL
SUSPENSION
Mewled& c
OFFICIAL TIME
Covington, T
7/23/2019 7:02:34 AM
EFTA00019373
Tuesday July 23, 2019
Pago 3
COP
IF TRAINING
—"Change Records""
Post
Relieved Officers
RoHaving Officers
Spit Shft Officer
Now Status
Relieving Officer
Previous Status
Ret
Shft Changed By
TOOL ROOM
6
ICS 711413:31
[Sick / Annual]
KO 7/14 13:52
CONTROL d2
Ka 7/18 07:54
(sp)PHONE RM 2
8
" 7/18 07:54
SHU 11
8
7/18 09:22
INTERNAL
8
7/18 09:29
INTERNAL
8
KS 7/1812:07
UNIT 3
Rf/ 7/17 15:58
OT/CT Start End
OT
ATTY CONE
7 SOUTH
SHU LT
10
LWOP
5 SOUTH
rinse/led NCSI
INTERNAL
2
10 SOUTH #2
10
ACT LT
10
SHU #2
VISIT #2
RW 7/18 08 00
OT/CT
Start
End
07
RV/7/18 10.11
OT/CT Start
End
CT
KS 7/18 10:19
7/18 11:35
RW 7/1812:10
OT/CT
Start
End
EIT
RW 7/19 10 19
RV/ 7/19 10:19
RW 7/19 12:15
OT/CT
Start
End
OT
JD 7/21 14:10
OT/CT Stott End
OT
RW 7/220821
07/CT BMW End
01
RW 722 0826
OT/CT Start
End
7/23/2019 7:02:35 AM
EFTA00019374
Tuesdsy July 23, 2019
Page 4
Post
Splt Stift Officer
MIT 82
9
[Ska / Annua!'
7 NORTH
11 NORTH
(sp)PHONE RM 2
SHU 81
gnserted NCSJ
SHU
SHU
SHU 81
SHU 82
7 NORTH
gikk /Annua!)
9 NORTH
11 NORTH
5 NORTH
8
INTERNAL
7 NORTH
VISIT 82
5 NORTH
Relleved Opkels
RellevIng Officers
Ret ,
New Status
Rekning Officer
Prwlous Status
Shfl Changod Sy
Y
Y
RW 7/22 08:27
RW 7/22 0827
RW 7/22 08:34
OT/CT Start
End
OT
RW 7/22 0845
OT/CT Start
End
OT
Ks 7/22 09:05
Y RW 7/22 09:20
T/CT Start
End
OT
7/22 0939
F'W 7/22 0939
Y RW 7/22 moe
OT/CT Start
End
OT
RW 72210:19
Y RW 7/22 1019
OT/CT Start
End
OT
RW 7/22 10:43
Wiig 7/22 10:43
Y RW 722 11:04
Over Stad
End
OT
MV 7/22 14:34
72214:37
Y RW 7/22 14:45
OT/CT Start
End
CT
RV'/ 7/22 14:58
OT/CT Start
End
Rik 7/22 15:28
OT/CT Stad
End
OT
Y MR 7/2218:12
/CT Start
End
OT
7/23/2019 7:02:35 AM
EFTA00019375
Tuesday July 23, 2019
Page 5
Post
Spit Stift Officer
11 SOUTH
2
INTERNAL
SHU 112
Relieved Officers
New Status
Relieving Officers
Ret
Relieving Officer
Previous Status
Shft Changed By
iJ 7/22 1921
O7/CT Stott End
OT
12
in2 1922
2
7/22 21:14
[Sick / Annual)
SHU 02
7/22 21:14
2
Y
7/22 21:14
5 SOUTH
POT
T/CT Start End
2
r 7/22 22:08
[Sick Annuag
CIA 7/22 22:08
5 SOUTH
2
Y CIA 7/22 22:12
1
T/CT Start End
T
[Inserted NCSJ
7/23 04:30
(sp)Strickle Watch
2
GA 7/23 04:31
(sp)Suidde Watch
INTERNAL
GA 7/23 04:31
OT/CT
Start
End
OT
01:30 08:00
GA 7/23 04:32
dT/CT Start
End
OT
00:00 01:30
11 SOUTH
8
GA 7/23 05:05
""Recapitulation""
Morning Watch
8
AM Watch
7
Day Watch
23
PM Watch
6
Evening Watch
17
"Back Page Categories"
Sick Leave
4
Day Off
20
Annual Leave
7
LWOP
1
LWOP(M)
4
AWOL
9
SUSPENSION
1
OFFICIAL TIME
1
COP
2
IF TRAINING
3
Total Correctional Svcs. Staff: 113
Non Correctional Svcs. Staff: 2
Overtime Occurrences: 18
Comptime Occurrences: 1
Ops Li Evening Watch Signature:
Captain's Signature:
7/23/2019 7.02:36 AM
EFTA00019376
Bureau of Prisons
Health Services
Clinical Encounter
Inmate Name: EPSTEIN. JEFFREY EDWARD
Reg #:
Date of Birth:
Sex:
M
Race: WHITE
Facility: NYM
Encounter Date: 07/23/2019 06:20
Provider:
MLP
Unit:
H01
Injury Assessment - Non-work related encounter performed at Health Services.
SUBJECTIVE:
INJURY 1
Provider:
MLP
Date of Injury:
07/23/2019 01:27
Date Reported for Treatment:
07/23/2019 08:25
Work Related:
No
Work Assignment:
UNASSG
Pain Location:
Pain Scale:
0
Pain Qualities:
Where Did Injury Happen (Be specific as to location):
Special Housing Unit Z05-Cell 124 L
Cause of Injury (Inmate's Statement of how injury occurred):
"I do not know. Just went to drink a little water and wake up snorting".
Symptoms (as reported by inmate):
1,3
2
None
OBJECTIVE:
Temperature:
Data
Time
Fahrenheit Celsius Location
07/23/2019
06:30 NYM
97.5
36.4 Oral
provider
MLP
Pulse:
Date
Time
Rate Per Minute
Location
alistthin
provider
07/23/2019 06:30
92
Via Machine
Regular
MLP
Respirations:
Date
Time
Rate Per Minute provider
07/23/2019
06:30 NYM
16
MLP
Blood Pressure:
Date.
Time
Value
Location
position
Cuff Size
provider
07/23/2019 06:30 NYM 140/85
Right Arm
Sitting
Adult-regular
MLP
S3O2:
Data
Time
Valuerki Air
Provider
07/23/2019
06:30 NYM
96 Room Air
MM.
MLP
Exam:
General
Affect
Yes: Cooperative
Appearance
Yes: Appears Well, Alert and Oriented x 3
No: Appears Distressed, Lethargic, Dyspneic, Appears in Pain, Pallor, Cyanotic. Diaphoretic. Disheveled.
Generated 07/23/2019 09:05 by
MLP
Bureau of Prisons - NYM
Page 1 of 2
EFTA00019377
em1
7
o
C.1";)
EFTA00019378
Inmate Name: EPSTEIN. JEFFREY EDWARD
Reg ff:
Date of Birth:
Sex:
M
Race: WHITE
Facility: NYM
Encounter Date:
3/2019 06:20
Provider.
MLP
Unit:
H01
Exam:
Acutely III
Pulmonary
Auscultation
Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally
No: Crackles. Rhonchi, Wheezing
barn Comments
Inmate for injury report as requested by Operational Lt.
He is ambulatory, oriented x 3. to not apparent distress, smiling during this clinical encounter. Alleges, that he does not
know what happened. Can not explain the marks on his neck. Responded: "I don't know".
He does not want to talk of the events leading to the marks on his neck.
He does not look in any distress or pain.
Has an circular line of erythema at the base of the neck. Reaching 2/3 of the neck circumference, 2 inches wide, sparing
the back of the neck. Has one section of this erythema in the front with marks of friction.
No inflammation, no deformities, no hematomas. no lacerations, no tenderness. Patient moving his neck without any
restriction. Denies having any pain or discomfort. Denies any respiratory problem.
Has another small erythema on left knee about 2cm in diameter(mild).
As per information from custody staff inmate Epstein was found in his cell with a rope around his neck and sitting on the
floor.
Inmate is currently placed on suicide watch.
ASSESSMENT:
Injury, unspecified, T1490 - Current - R/O self inflicted injuries.
PLAN:
Disposition:
Follow-up at Sick Call as Needed
Placed on Suicide Watch
Follow-up in 24 Hours
Other:
For follow up with psychology service.
Patient Education Topics:
Date Initiated Format
flandoutrrooic
07/23/2019
Counseling
Access to Care
07/23/2019
Counseling
Plan of Care
Copay Required: No
Cosign Required: Yes
TelephoneNerbal Order: No
Completed by
. MLP on 07/23/2019 09:05
Requested to be cosigned by
MD.
Cosign documentation will be displayed on the following page.
Provider
Outcome
Verbalizes
Understanding
Verbalizes
Understanding
ao°
Generated 07/23/2019 09:05 by MB
MLP
Bureau of Prisons - NYM
Page 2 of 2
EFTA00019379
Metropolitan Correctional Center New York N.Y.
Photo Sheet
Special Investigative Section
L
Type of Incident
Date and Time of Incident
Possible Suicide Attempt
07/23/19 —1:27 AM
Inmate Name/Register Number
Epstein, Jeffrey
Location of Incident
Photograph(s) by
Special Housing Unit
Date and Time of Photo
07/23/19 -1:45 AM
/41)
EFTA00019380
lemenetin's Office
Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section
Type of Incident
Date and Time of Incident
Inmate Name/Register Number
Location of Incident
Photograph(s) by
Date and Time of Photo
Possible Suicide Attempt
07/23719 i:27 AM
Epstein, Jeffrey
Special Housing Unit
07/23/19 -1:45 AM
0 -1')
EFTA00019381
Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section
Type of Incident
Date and Time of Incident
Inmate Name/Register Number
Location of Incident
Photograph(s) by
Date and Time of Photo
Possible Suicide Attempt
07/23/19 — 1:27 AM
Epstein. Jeffrey
Special Housing Unit
MIMMI, Lieutenant
07/23/19 -1:45 AM
EFTA00019382
Lieutenant's Office
Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special investigative Section
Type of Incident
Possible Suicide Attempt
Date and Time of Incident
07/23/19 — 1:27 AM
Inmate Name/Register Number
Location of Incident
Photograph(s) by
Date and Time of Photo
Special Housing Unit
Lieutenant
07/23/19 -1:45 AM
EFTA00019383
Lieutenant's Office
Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section
Type of Incident
Possible Suicide Attempt
Date and Time of Incident
Inmate Name/Register Number
07/23/19 - 1:27 AM
Epstein, Jeffrey
Location of Incident
Photograph(s) by
Special Housing Unit
. Lieutenant
Date and Time of Photo
07423/19 -1:45 AM
EFTA00019384
Lieutenattr's Quiet
Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section
Type of Incident
Date and Time of Incident
Inmate Name/Register Number
Location of Incident
Photograph(s) by
Date and Time of Photo
Possible Suicide Attempt
07/23/19-1:27AM
Special Housing OM
07/23/19 -1:45 AM
EFTA00019385
Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section
Type of Incident
Date and Time of Incident
Inmate Name/Register Number
Location of Incident
Photograph(s) by
Possible Suicide Attempt
Date and Time of Photo
07/23/19 — 1:27 AM
Epstein, Jeffiey
Special Housing Unit
. Lieutenant
0-723/19 -1:45 AM
EFTA00019386
ieutenant 's Office
Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section
Type of Incident
Possible Suicide Attempt
Date and Time of Incident
0723/19 — 1:27 AM
Inmate Name/Register Number
Location of Incident
Photograph(s) by
Epstein, Jeffrey
Special Housing Unit
Lieutenant
Date and Time of Photo
07/23/19 -1:45 4 M
EFTA00019387
lieutenant Office
Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investintive Section
Type of Incident
Date and Time of Incident
r
Inmate Name/Register Number
Location of Incident
Possible Suicide Attempt(Cellmatel
Photograph(s) by
Date and Time of Photo
07/23/19 — 1:27 .411
Tartaglione, Nicholas
Special Housing I 'nit
Lieutenant
07/23/19 -2:25 A Al
EFTA00019388
Lieutenant's Office
Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section
Type of Incident
Date and Time of Incident
Inmate Name/Register Number
Location of Incident
r
Photograph(s) by
Date and Time of Photo
Possible Suicide Attempt(Cellmato
07/23/19 - 1:27 AM
Special Housing Unit
07;23/19-2:25 AM
EFTA00019389
Lieutenant's Office
Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section
Type of Incident
Date and Time of Incident
Possible Suicide Attempt(Celbnato
(1723/19 — 1:27 AM
Inmate Name/Register Number
Tartaglione, Nicholas
Location of Incident
Special Housing Unit
Photograph(s) by
Date and Time of Photo
P. Lieutenant
0723/19 -2:25 AM
'COP
I
EFTA00019390
Lieutenant's Office
Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section
Type of Incident
Date and Time of Incident
inmate Name/Register Number
Location of Incident
Photograph(s) by
Date and Time of Photo
Possible Suicide Attempt(Cellmate)
07/23/19 - 1:27 AM
Tartaglione, Nicholas
Special Housing Unit
07/23/19 -2:25 AM
EFTA00019391
teurenam's Office
Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section
Type of Incident
Date and Time of Incident
Inmate Name/Register Number
Possible Suicide Attempt(Cellmato
07/23/19 1:27 AM
Tartaglione, Nicholas
Location of Incident
Special Housing Unit
Photograph(s) by
Lieutenant
Date and Time of Photo
07/23/19 -2:25 /1
COPY) t
EFTA00019392
Metropolitan Correctional Center New York, N.Y.
( t ut,van
Photo Sheet
Special Investigative Section
Type of Incident
Date and Time of Incident
Inmate Name/Register Number
Location of Incident
Photograph(s) by
Date and Time of Photo
Possible Suicide Attetnpt(Cellmatei
07/23/19 - 1:27 A Al
Tartaglione. Nicholas 1178514t
Special Housing Unit
Ma
Lieutenant
07/23/19 - 7: 2. 5 JIM
copy
EFTA00019393
BPAffir0ll
JAN 17
TO: Special H
ing Unit Officer
FROM:
IE
ENANT
SUBJECT : Placement of
(Name1Title)
(a) Is pending an investigation for a violation of Bureau regulations:
(b) Is pending an SIS investigation
(c) Is pending nvesbgabon or trial for a animal act:
(0) Is to beadmitted to Administrative Detention
Reg No
(1) Since the mambas requested admission for protection:
NEWYORK MCC
Ingle/bon
Damarme 07-10-2019
7-10-2019
in Adrniristrative Detention
I hereby request placement in Admirestrabve Detention for my own protection.
Inmate Signature/Register No.:
Staff Witness Printed Name Signature:
(2) Since a serious threat exists to individual's safety as perceived by staff. although person has not requested admission: referral of
the necessary information will be forwarded for an appropriate hearing by the SRO.
(e)
Is pending transfer or is in holdover status during transfer.
«)
(9)
Is pending classification: or
Is terminating confinement in Disciplinary Segregation and has been ordered into Aceninisuative Detention by the Warden's
designee.
II is Ilia Correctional Supervisors decision based on all the Cif amstances that the above named Inmate' s continued presence in the general
population poses a serious threat to life. property, sell. staff. other inmates. orb the security or orderly running of the institution because'
Therefore. the above named inmate is to be placed In Administratne Detention until further notice. The innate received a copy of Pis Order on
(date / tine)
( 0 -(
Staff Witness Signature/Printed Name
Date 1
/
—1
Supervisor 24 hour review of placement: Signature/Printed name
c-AC
• In the case of DHO action reference to that order Is sufficient. In other cases. the Correctional supervisor will make an Mependent review and decision. which is
documented here.
(Kg)
Record Copy - Inmate Concerned (not necessary if placement is a result of holdover status): Copy - Captain: Copy - Und Manager: Copy - Oper •
rinsor
- Admiristratne Detention tint. Copy — Psychology. Copy - Central File
COPY
PDF
Prescribed by P5270
(Replaces BP-A0308 of JAN 88 )
s
le
EFTA00019394
INCIDENT REPORT
I —Institution MCC New York
2 Inmate's Name:
Epstein Jeffery
8. Place of incident:
SHU M-Tier Cell 124
9. Incident sellw eelatiee
Part I — Incident Report
1
Inadeni Repee( Numbe
4
/sister Number.
7. Assignment:
Unassigned
. Dale of Inn3dem:
07/23/2019
8. Un
ZA
4saFbc5c
1:27am
10. Prohibited Act Code (s): 228
11. Description of Incident (Dale: 07/23/2019
Time: 127AM
Staff became aware of incident):
On Jul 23.2019 at
x. 1:27am While workin in
it M elf and S/O
heard noise
n • from
her cell 124.Upon
arrival UM% Epstein•
a male (I
was at the door staling r
pstem
had attempted to
hang himself. I kept a visual while I
grabbed the door keys and caned or assistance. After Securing UM
and remown
tam(rain the colt entered then placed
a
m
on his side and removed a orange homemade rope from his no-
was • ea ng at is me
But unresponsive. Addition staff and Ops Lt
arrived WM was then removed from SHU
12. Typed Name/Sig
INS
14. Incident Repo
(Typo Name/Sig
fling Employee:
veftd to Above Inmate By
15. Date Ina(
13. Dale And Time.
07/23/2019 3:30am
em Report Delivered:
16. Time Incident Report Delivered:
Part II — Committee Action
17. Comments of Inmate to Committee Regarding Above Incident:
18. A. It is the finding of the committee that you:
n
Committed the Prohibited Act as charged:
Did not Commit a Prohibited Act.
Committed Prohibited Act Code (s).
B.
The Committee is referring the Charge(s) to the DHO for further
Rearm—,
C. I
I The Committee advised the inmate of its finding and of the right
to file an appeal within 20 calendar days.
19. Committee Decision is Based on Specific Evidence as Follows:
20. Committee action and/or recommendation if referred to DHO (Contingent upon DHO finding inmate committed prohibited act):
21. Dale and Time of Action:
(The UDC Chainnantis signature certifies who sat on the UDC and that the completed tenon
acaxately reflects the UDC proceedings).
Chairman Owed Nome/Signalure):
Member (Typed Name):
Member (Typed Name):
INSI RUC IONS: All Items outside of heavy rule are for staff use only. Begin entries with the number 1 and work up. Entnes not completed will be
voided by staff.
Distribute. Original-Central File Record; COPY-1-DHO: COPY-2-Inmate after UDC Action: COPY 3-Inmate within 24 hours of Part I Preparation
PDF
Prescribed by P5270
Replaces OP-A0288 of AUG 11
EFTA00019395
Part III - Investigation
22. Date And Time Investi< ation Began
23. Inmate Advised Of Right To Remain Silent: You are advised of your right to remain silent at all
stages of the discipline process. Your silence may be used to draw an adverse inference against you
at any stage of the discipline process. Your silence alone may not be used to support a finding
that you have committed a prohibited act.
The Inmate Was Advised Of The Above Right By
At (Date/tine)
24. Inmate statement and attitude
25. Other facts about the incident, statements of those persons present at scene, disposition of
evidence, etc.
26. Investigator's comments and conclusions
27. Action taken
Date and Time Investigation Completed
Printed Name/Signature Of Investigator
Title
er
PDF
Presaibed by P5270
Replaces BP-S288.052 Of MAY 94
EFTA00019396
cot ..
dor 715/v - or/
/427A tau C
/
4e3
&//
7-03/4
hi, t zr-F ratted
A.,
Rk
EFTA00019397
Bureau of Prisons
Health Services
Clinical Encounter
Inmate Name:
Reg #:
78514-054
Date of Birth:
10/10/1967
Sex:
M
Race: WHITE
Facility: NYM
Encounter Date: 07/31/2019 14:11
Provider:
PA-C
Unit:
Z06
Mid Level Provider - Evaluation encounter performed at Special Housing Unit.
SUBJECTIVE:
COMPLAINT 1
Provider: IMIMPA-C
Chief Complaint: No Complaint(s)
Subjective:
1 feel good today, can't complain. My anxiety is getting better and I have no side effect from
the new anxiety medication"
IM being seen in the SHU as per the request of lieutenants.
States he's been doing well and has no acute complaints.
For what happened to his previous cell mate about a week ago, states "I have no idea what
was going on. I didn't do anything and I have no injury"
Pain:
No
OBJECTIVE:
Pulse:
Date
Time
Rate Per Minute
1.12fatit211
Rhythm
Provider
07/31/2019 14:19
71
Via Machine
PA-C
Respirations:
Date
Time
Rate Per Minute provider
07/31/2019
14:19 NYM
15
PA-C
Blood Pressure:
Date
Time
Value
Location
Position
Cuff Size
Provider
07/31/2019 14:19 NYM 118/70
Left Arm
Sitting
Adult-regular
PA-C
SaO2:
Date
Time
Value(%) Air
Provider
07/31/2019
14:19 NYM
98 Room Air
PA-C
Exam Comments
General: AAOx3. NAD
HEENT: PERRLA. EOMI. Nares patent.
Neck: Supple
Heart: S1, S2. RRR
Lungs: CTAB
EXT: No edema.
Neuro: Grossly normal CN
ASSESSMENT:
Encounter for general adult medical exam without abnormal findings. Z0000 - Current
PLAN:
Disposition:
Follow-up at Sick Call as Needed
Other:
Generated 07/31/2019 14:39 by
PAC
Bureau of Prisons - NYM
Page 1 of 2
EFTA00019398
a q
it() c',3)
EFTA00019399
Inmate Name:
TARTAGLIONE.
CHOLAS JOHN
Reg it: RIM
Date of Birth:
10/10/1967
Sex:
M
Race: WHIM
Facility:
Encounter Date: 07/31/2019 14:11
Provider: IPA
-C
Unit:
Z06
IM states he feels as himself and denies being in acute distress.
Patient Education Topics:
Date Initiated Format
Handout/Topic
07/31/2019
Counseling
Access to Care
Copay Required:No
Cosign Required: Yes
TelephoneNerbal Order: No
Completed by IIIMIMPA-C on 07/31/2019 14:39
Requested to be cosigned by a
MD.
Cosign documentation will be displayed on the following page.
Provider
IEEE
Outcome
Verbalizes
Understanding
Generated 07/31/2019 14:39 by
PAC
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