Suicide Watch

Suicide Watch Chronological Log Inmate Companions Log Name of inmate on watch: w Register #: 4 131% itd Institution: MICC F- › - Date Watch Began / Ended 1 49 n 7-0// A 242019) C O. CJ Suicide Mattress To be completed by Chief Psychologist at conclusion of watch: Booklet \ of I SWCL - INMATE EFTA00108431 STAPLE LOCAL PROCEDURES HERE Check one of the following: 0 This is the initial log book for this suicide watch. Enter date and time watch began: ifr This is a continuation log book for this watch. Enter date and time this watch book was initiated: 1-22 ori -00cirv) Instructions to Observer: Document your observations every minutes. Legibly print and sign your name at the beginning of your shift. EFTA00108432 PAGE 001 OF uus REG NO..: 76118=654 NAME . EPSTEIN, JEFFREY EDWARD CATEGORY: AIDS FUNCTION: riff FORMAT: FCL NYM ASSIGNMENT DESCRIPTION NOT MED CL NOT MEDICALLY CLEARED START DATE/TIME STOP DATE/TIME 07-06-2019 2124 CURRENT