EFTA00139522.pdf

M•adrin /Ma e..S Melia .•—eenr ass — a MICE Wizaln r -714ai L"-: - I ' -er gs- jag•tell ► : PLEASE RETURN LOG TO PSYCHOLOGY AFTER THE OBSERVATION HAS ENDED. THANK YOU. ITEMS ALLOWED: Regular Clothes Safety Toothbrush Newspaper/Magazine Books (softcover only) Safety Pen and Paper Toilet Paper Legal Mail Other SW Blanket & SW Mattress must be used even on Psych Observations. checked with a silver marker, only a .d If nothing is Suicide Smock and Suicide Blanket are allowed. UUNHULN I IAL SONY 00010859 EFTA00139522 Name of Inmate On Suicide Watch or Psych Observation: le E irki VI Registration U: 1931 -05-/ EATING/SHOWER CHART DATE BREAKFAST LUNCH DINNER LIQUIDS OFFERED RECEIVED SHOWER SHOWER ' 7116119 Please check the appropriate box if the person on Suicide Watch/Psych Observation actually eats his meal. Do not check the box if he just received it, but did not eat it. Place a check in the "Liquids" box each time the person drinks. Thank you. 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