EFTA00033966.pdf

Maar nitaie41-.W• • .•••••• WabIT• AR SS. MM. gaina r ---aMinPUL:Nrenraln all di 6- 'Asa '911WEIrea 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. . d If nothing is checked with a silver marker, only a Suicide Smock and Suicide Blanket are allowed. (_,UNI- ILJEN I IAL SDNY 00009719 EFTA00033966 Name of Inmate On Suicide Watch or Psych Observation: ESErft PI Registration U: /031g-O5ti EATING/SHOWER CHART DATE BREAKFAST LUNCH 46 DINNER LIQUIDS OFFERED SHOWER RECEIVED SHOWER ' 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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