.RVATION LOG _Y

.RVATION LOG _Y I NAME: C . ES±e REGiSTRATIONtf: 7(.2-6 I & 0 sel OBSERVATION STARTED:_ 7 - 2‘1 - 20. Ict PLEASE RETURN LOG TO PSYCHOLOGY AFTER THE OBSERVATION HAS ENDED. THANK YOU. crguis ALLOWED: • fr\s I' Regular Clothes • 71 - Safety Toothbrush .. i r Newspaperfivlagazine O00kS (softcover only), ) v Safety Pen and Paper Toilet Paper Mail Other SW Blanket & SW Mattress must he used even on Psych . Observations. If nothing is checked with a silver marker, only a Suicide Smock and Suicide Blanket.: re allowed. EFTA00110438 Name of Inmate On Suicide Watch or Psych Observation: e;adf if Registration It: 9 -6 pjr EATING/SHOWER CHART DATE BREAKFAST LUNCH DINNER LIQUIDS OFFERED SHOWER RECEIVED SHOWER / V - IV" t7 "..--> - "----- e.--- t./ 19 j,,,,er• - e‘.2. '• (/ / li WM • , _._ .,___.:„..• • .: ___L-: ::., - _ Please check the appropriate box if the person on 'Suicide Watch/Psych Observation actually eats his meal. Do not c