Epstein Secrets

care in last 33 days 72 Yes No U Papitil in-pabent HeepiW ED/ outpatient U •losp COA C Other. specify: J J Nursing hone/long teem care Hospice rickey Decedent's residence DAM AND HOUR Of MAIM: 08/10/2019 7:36 AM Unk INJURY: Date Time: AM PM AT WORK J YES U NO TYPE OF PLACE:Irk

ount in progress. 10:21 PM Good verbal count announced. 10:38 PM Clear institutional count announced. 756 74/5 12:00 AM Relieved of duties by as the M/W Lieutenant. VISITING: INMATES ADULTS. CHILDREN TOTAL STG/High Alert phone calls monitored: W/TSEC inquiry(s) was/were received during my-tour of duty: O

r: O Recent hospitalizations or travel: if yes, where and when: O Dentist name/address): O Tattoos or scars (e.g., old surgery), describe: 0 Any Hospice care in last 30 days? If so, where: High blood pressure Heart problems Diabetes Seizures Lung problems Tuberculosis Tobacco use Brain infecti

ount in progress. 10:21 PM Good verbal count announced. 10:38 PM Clear institutional count announced. 756 74/5 12:00 AM Relieved of duties by as the M/W Lieutenant. VISITING: INMATES ADULTS CHILDREN TOTAL STG/High Alert phone calls monitored: W/TSEC inquiry(s) was/were received during my tour of duty: 0

last 93 days Yes ijb• No u NO U. 0 Hospital In-patient Hospital ED/outpatient Hoop DOA Other specify: u U U Nursing harnMong term care Hospice facity Decedents resktence DATE AND HOUR OF DEATH: 08/10/2019 7:36 AM u Unk INJURY: Date Time: AM PM AT WORK U YES U NO TYPE OF PIACE

ount in progress. 10:21 PM Good verbal count announced. 10:38 PM Clear institutional count announced. 756 74/5 12:00 AM Relieved of duties by as the M/W Lieutenant. VISITING: INMATES ADULTS CHILDREN TOTAL STG/High Alert phone calla monitored: WITSEC inquiry(s) was/were received during my tour of duty: 0