j AUIRSVCHIOBSERVATION LOGY” Y Pe REGISTRATIONS: 26> (| €-0S4 : | OBSERVATION STARTED: 2 ~2F¢ —20/ q > OBSERVATION ewoeo._2- [2e/15 Lay - . PLEASE RETURN LOG TO PSYCHOLOGY AFTER THE OSSERVATION HAS ENDED, THANK YOU. A il: 4 oa ITEMS ALLOWED: Regular Clothes, ; afety Toothbrush 4 \J ewspaper/Magazine 4) } ooks (softcover only) 4 Observations. F if nothing is checked with a silver marker, only a Suicide Smock and Suicide Blanket are allowed. EFTA00120134

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S: Zar vamode eee 15 conke silting On bed OL aes \nmerte Eostew S SEZ OWNS - 7) 0 an Set piw oni Coste 763) ¥-054 7-30-14 C.00. a _ Orn Anmole Coskeis \3 “Sleeping - Ow A\yencd& ‘sien \5 » sleeping on WAKE Cele 3 SNeep S > ( b\3.--nmene Lose Sb See sg) f : be 6 BA _inmete Lose 19 Cur¥e—— 2 ne Jarek t Rieke iS Jali Yo me ae ord. be Peres \\eroane Lgsles iS cabie ealask= 2 ean nA Xd _ — £ 14s *M FX bpater De pon OT. LY | Tx! “be 4 Hit 7s bredleort 4 | L Pycte/n_ 40 _aathes dow soli bd pt AZ a. EFTA00120158

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Name of Inmate On Suicide Watch or Psych Observation: 2) = 7 Registration #: 1£ —Ox. EATING/SHOWER CHART DATE ] BREAKFAST | LUNCH DINNER | LIQUIDS OFFERED RECEIVED 7 ; AZ L ——_ _{skower _| 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. EFTA00120159