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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
PROJ REL DATE..: UNKNOWN PAR ELIG DATE..: PAR HEAR DATE..: OFFN/CHG RMKS: TITLE: 21 OFFN/CHG RMKS: TITLE: 21 FACL CATEGORY ME= NYM ADM-REL NYM CALLOUTS NYM CARE LEVEL NYM COR COUNSL NYM CMC NYM NYM NYM NYM NYM NYM NYM NYM NYM NYM NYM NYM NYM NYM CASEWORKER CUSTODY DRUG PGMS EDUC
NG SIS INVESTIGATION/ THREAT ASSESSMENT L Subject (2 or 3 Days) 3 Day Review Date Reviewed 07-19-2019 Acton Taken on the Above Date Continue in Special Housing Unit P r. N rn nature: II. RECORD REVIEW. (To be done wieldy In the Inmates absence. beginning after the iniperson 7 day review. and continuing every
FFN/CHG RMKS: TITLE: 21 USC : 841 FACL CATEGORY CURRENT ASSIGNMENT EFF DATE TIME NYM ADM-REL A-PRE PRE-SENT ADMIT, ADULT 08-01-2018 1718 NYM CALLOUTS COURT SDNY COURT USM SOUTHERN DISTRICT 07-16-2019 0731 NYM CARE LEVEL =EMI 09-12-2018 1343 NYM COR COUNSL UNT 7S VACANT 11-24-2018 1414 NYM C
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
RMKS: TITLE: 21 USC: 846 OFFN/CHG RMKS: TITLE: 21 USC: 841 FACL CATEGORY - - - - - CURRENT ASSIGNMENT NYM ADM-REL A-PRE PRE-SENT ADMIT, ADULT NYM CALLOUTS COURT SDNY COURT USM SOUTHERN DISTRICT EFF DATE 08-01-2018 07-16-2019 TIME 1718 0731 NYM CARE LEVEL CARE1-MH CARE1-MENTAL HEALTH 09-12-2018
Entities connected to both Special Housing Unit and NYM CALLOUTS
Federal Bureau of Prisons
ORGANIZATIONLeon Black
PERSON
Julie K. Brown
PERSONNYM-NEW YORK MCC
ORGANIZATIONCOMPLETED - CONTINUE PROCESSING
ORGANIZATIONNext Review
ORGANIZATIONthe Reviewing Authority
ORGANIZATIONSpecial Housing Review Form
ORGANIZATIONthe Segregation Review
ORGANIZATIONPGM REVIEW
ORGANIZATIONUNT MGR
ORGANIZATIONActon Taken
LOCATIONR. PROTO
ORGANIZATIONMedical Staff
ORGANIZATIONNYM MED DY ST
ORGANIZATIONCopy - Operation Supervisor
ORGANIZATIONSHU Review
ORGANIZATIONOHO Report
ORGANIZATIONCARE1-MENTAL
ORGANIZATIONEl Continue
ORGANIZATION