Epstein Secrets

n a special housing states? ClYes; 0 No Is there an eitaltionai essesamertt for ovary one month interval thentediar7 O Yet CI No if no. why not? Acton taken on die above date by the Segregation Bedew OtEdat or the Redevitog Aalborg,: 0 RN-eased from Special Housing, ID Cangnue In Special &tang C4

s in a special housing status? Is there an additional assessment for every cne month interval thereafter? O Yes. O No dn.. why not? O Yes O No Acton taken on the above date by the Segregation Review ()Moat or the Reviewing Authority: K Re:eased from Special Housing. O Continue in Special Reusing

Race: WHITE Facility: NYM Encounter Date: 08/10/2019 07:25 Provider: RN Unit: Z04 Emergency Code - Resuscitation Event encounter performed at Special Housing Unit. SUBJECTIVE: Emergency Note Provider: RN Team Members: Provider fiQle RN Team/Code Leader Code Events: Tvoe Value Pate CPR Compressions

n a special hOuSelg status? K Yes: K No Is there an addmonal assessment for every one month interval thereafter? K Yes: K No if no. why not? Acton taken on the above date by the Segregation Review Official or the Reviewing Authority: K Released from Special Housing: K Conbnue vi Special Housin

ason for Iftecement PENDING SIS INVESTIGATION/ THREAT ASSESSMENT 1. Sutsect (2 or 3 Days) 3 Day Review Acton Taken on the Above Date Continue in Special Housing Unit Date Redo:mixt 07-19-2019 Pnnted Nameragnature: 11. RECORD REVIEW. (To be done weekly in the DATE ACTION TAKEN REMARKS SIGNATURE 07-23-2019

ys in a special housirg status, RI E No Is there an additional assessment tor every one month interval thereafter? Yes. —I No if no. why not, Acton taken on the above date by the Segregation Review Official or the Reyxweing Authority K Released from Special Housing, s, Continue in Special Hous

or Placement. PENDING CAPTIANS REVIEW I. Subject (2 or 3 Days) 3 Day Review Date Reviewed 07.15-2019 Acton Taken on the Above Date Continue in Special Housing Unit Printed Name/Signature RICE, MARQUEA S II. RECCRD REVIEW (To be clone weekly in the inmate's absence, beginning after the in. review ) DATE AC