BP-A0292
APR 18 U.S. DEPARTMENT OF JUSTICE
SPECIAL HOUSING UNIT RECORD FEDERAL BUREAU OF PRISONS
NEW YORK MCC
(Institution)
Rag. . 76318.054
Inmate Name: EPSTEIN, JEFFREY EDWARD No
UNASSIGNED ADMISSION . UNIT MANAGER X MO
Teamtaseworker Regular Unitm " C= Cell'
Violation Date Time
PENDING CLASSIFICATION 2019-07-10 15:26
or Reason: Reed: ReCd:
Admittance Date Time
Authorized: Rel.: Rel.:
N/A
Pertinent Information:
Separation Information: NIA
205-124 LAD AD
Special Housing Unit Cell Number: Inmate Is In: DS: AD Status
Is Inmate on Medication: N Medical Department Notified:
Out of cell lime Medical
Date Shift Meals SH Exercise Staff Sign OIC Signature
8 D S (total) Comments
07-14-2019 Morn v
07-14-2019 Day V N No
07-14-2019 Eve V N No
06162019 Morn y
anemia Day r r No 01:00 See 2nd page
07.162019 Eve V Na
0746.2019 Mom y
06164019 Day Y See and page
omezois Eve Y No
06174019 Morn Y
06174019 Day Y y Net 01:09 See 2nd page
07.174019 Eve Y No
06164019 Mom v
07462019 Day Y N Ref See 2N1 page
06162019 Eve Y No
06194019 Wall Y
07494019 Day Y V 00:15 See 2nd page
07.194019 Eve
07462019 Morn v
0740-2019 Day Y
07462019 Eve Y N No
EXPLANATORYNOTES:Pertinent Info: i e., Epileptic; Diabetic; Suicidal; Assaultive: etc. Meals/SH: Shower - Yes (Y); No (N); Refused (R)Out•of-Cell
Time: (LL) Law Ubrary,(LV) Legal Visit, (U) Unit Team. (P) Psychology. (E) Education, (H) Haircut, (C) Chapel, (R) Recreation, (X) Property Issue. (V)
Visit. (M) Medical. (C) Court, (O) Other - Yes (Y) if applicable / Enter Actual Time Period Stan and End (is., 0930 -1030 hrs) in Out of Cell Time Block.
Medical: Medical providers will sign the segregation log each shift and the record sheet each time the inmate is seen by a medical provider. At a minimum.
the record sheet must be signed at least once each day by the medical provider. Comments: i.e., Conduct, Attitude. etc. Additional comments on reverse
side must include date. signature, and title. OIC Signature: OIC must sign all record sheets each shift. (OIC • Unit Officer)
PDF Prescribed by P5270 This form replaces BP•292(52) dated AUG 2011.
EFTA00036585
Day shift comments:
07-15-2019 Health: Voices no medical complaints.
Day shin comments:
07-16-2019 Health: Voices no medical complaints.
Day shift comments:
07-17-2019 Health: Voices no medical complaints.
Day shift comments:
07-18-2019 Health: Voices no medical complaints
Day shin comments:
07.19.2019 Health: Voices no medical complaints.
EFTA00036586