OREGON DEPARTMENT OF CORRECTIONS
Unusual Incident Report

05 P p l / () 7 doDO

UIR#:

Referred to State Police:
State Police Case #:
Referred to SIU:
Location'

[2jYes

DNa

....::.1.:.12=-7~3:..:1c::8c::2'----_ _ _-'---_ _ _ _ _ _ _ _ _ _ _ _ __

DYes

7/23/11

Time:

3:00 - 4:00 p.m.

Medical Attention Required:

DYes

[2jNo

[2jNo

Health Services

Fm:lctional Unit/Institution'.
Type of Incident - Critical Indicators Involved

Staff Assault

OSP

Use of Force

Inmate Assault

Type of Force Used:

Escape

Contraband

I Apparent Natural Cause

Inmate Death

. Property

Medical Emergency

Emergency

Self Injury

Attempted Suicide

Employee/Volunteer/
Contractor/Citizen

Blood andlor Bodily Fluid

Other:

(OR)

2 . Emplovee,
. Volunteer, Contractor, or Citizen Involved'

1. Inmates Involved' (Attach facesheet(s) for all offenders listed)
Projected
Name(s)
SID#
Release Date

Work
Location

Name(s)

1. Barker. Terry

3886090

No Parole

l.

2. Boyd, S tUar!

6952044

2/2/12

2.

3. Cohron, Jimmie

4577168

Life

3-.

4.

4.

5.

5.

Page I of2

Date:

Contact
Information

I
CD 115 (08/05)

3. Incident: Describe Incident in detail: (Times. dates, locations, weapons involved, sequence of events, inmates/staff involved, etc. For escapes only:
include a detailed description of the inmate(s); height, weight, color of hair/eyes, clothing last worn, and other significant info.
On 7/2312011 at about 3:45 PM. Officer Hickey was notitied by Inmate Boyd that Inmate Barker had died of natural causes. Inmate Barker was a hospice inmate assigned to lnfinnary bed IN-3.
Inmate Boyd and Inmate Cohron were the assigned inmate Hospice volunteers. Both Inmate Boyd and Cohron were present at the bedside when Inmate Barker stopped breathing. Oft-ieer
Hickey responded to the area and relieved RN Stevens and RN Maruna who had secured the scene. C.o. Hickey notified Mash..T Control. Master Control staff notified Capt Bellman. the Ole.
Capt Bellman assigned Officer Contreras to take over the area and establish a crimI! scc:nc. The Medical Examiner. J. Moffitt arrived at 4:44 PM and released the body at 5:20PM. The State
Police Detective. Sgt. Withers arrived at 5:40PM and cleared the scene at 6:04PM. Due to the extended amount of time until rhe ti.mcral home could respond to the institution. the body was
moved by gurney and sccurcd in tbe Master Control sallyport. The-area remained secured until Alternative Burial and Cremation of Oregon arriv~d at 7:58PM and transported the body out of
the institution.

4.
(nrnate

Specific Information: (personal injury, ro erty damage, notification of kin).
deceased.

Misconduct R.eport Issued? DYes
5

[S]No

Communicated To'
Name

Title

Date

Time

Name

1. W. Bellman

OlC

7/23/11

3:50PM

6.M. Dodson

2.E. Bouerdreau

aD

7/23/11

4:03PM

7 .State Police

3.M. Yoder

Asst.
Supt. Sec.

7/23/11

4:04PM

S.T. Sly

4.1. Premo

Supt.

7/23/11

4:04PM

9.Medical Examiner

5.S. Blacketter

Asst. Dir.

7/23/11

4:06PM

10. P. Holbrook

Title
PIa

Comm.
Manager

Chaplain

Date

Time

7/23111

4:09PM

7/23/11

4:20PM

7/23/11

4:21PM

7/23/11

4:20PM

7/23/11

4:55PM

6. Report Completed By:
W. Bellman
Print Full Name

Captain
Title

asp
Functional Unit

1/"L -;,/ ((
Signature

Page 2 of2

Date

CD 115 (08/05)

OPSSOlI
LINDBLOM

Corrections Information Systems
Offender Public Information

15:53:35
7/23/11

Offender..
3886090 BARKER, TERRY LEE
Location .. OSP
OREGON STATE PENITENTIARY
Age
Sex
Height
Weight

54
Male
5'08"
l75lbs

DaB
1/01/1957
Race WHITE
Hair BROWN
Eyes BROWN

Caseload 00105 C.LENEX LTD SUPV
Classification 4
Court Case
Cnty ORS Abbrev Cls
911135994/01 MULT SODa I
AF
911135994/02 MULT SODa I
AF
911135994/03 MULT SODa I
AF
911135994/04 MULT SEX AB I
CF
911135994/05 MULT SEX AB I
CF
F3=Exit
F11=Menu bar

F4=prompt
F12=Cancel

Status. Inmate
Cell. IN-3
DOC cycles. 01-13-02
DNA Collected
Inst admission date ... 04/27/1992
Earliest release date. No parole date

503-373-1666

*DESIGNATOR*

Yrs-Mos-Days Term Date & Code
030-000-000
030-000-000
030-000-000
005-000-000
005-000-000
More ...
F9=Retrieve
F5=Refresh
F6=PTA Case load
F17=All offenses
Type Begin Date
I
4/23/1992
I
4/23/1992
I
4/23/1992
I
4/23/1992
I
4/23/1992

OPSSOlI
BSLLMANW

Corrections Information Systems

17:33:09
7/23/11

Offender Public Information

Offender.. 6952044 BOYD, STUART LSS
Location .. OSP
OREGON STATE PENITENTIARY
Age
Sex
Height
Weight

43
Male
5'09"
l30lbs

DOB
8/12/1967
Race AMER INDIAN
Hair BLACK
Syes BROWN

Status. Inmate
Cell. D-162
DOC cycles. 01-12-05
DNA Collected
Inst admission date ... 01/26/1998
Earliest release date. 02/02/2012

*DESIGNATOR*
Caseload 00105 C.LENEX LTD SUPV 503-373-1666
Classification 1
Court Case
Cnty ORS Abbrev CIs Type Begin Date Yrs-Mos-Days Term Date & Code
C970218CR/04 WASH ROBB I
AF I
1/26/1998 000-090-000

Bottom
F3=Exit
Fl1=Menu bar

F4=Prompt
F12=Cancel

F5=Refresh
F6=PTA Caseload
F17=All offenses

F9=Retrieve

OPS5011

Corrections Information Systems

BELL~lANW

17:33:55
7/23/11

Offender Public Information

Offender .. 4577168 COHRON, JIMMIE HOYT
Location .. OSP
OREGON STATE PENITENTIARY
Age
Sex
Height
Weight

53
Male
6'
185lbs

DOB
7/20/1958
Race WHITE
Hair BLOND
Eyes BLUE

Status. Inmate
Cell. A353B
DOC cycles. 01-01-07
DNA Collected
Inst admission date ... 02/21/1980
Earliest release date. Life

Caseload 00105 C.LENEX LTD SUPV 503-373-1666
Classification 4
Court Case
Cnty ORS Abbrev CIs Type Begin Date
85824
CLAC ROBB I
AF I
7/07/1986
851072
CLAC ROBS II
BF I
7/07/1986
851072
CLAC ROBS II
BF I
7/07/1986
CLAC MURDER
86739
UF I
8/02/1986

*DESIGNATOR*

Yrs-Mos-Days Term' Date
030-000-000
010-000-000
010-000-000
Life

&

Code

Bottom
F3=Exit
Fl1=Menu bar

F4=Prompt
F12=Cancel

F5=Refresh
F6=PTA Caseload
F17=All offenses

F9=Retrieve

Oregon State Penitentiary
Department of COl"rections
Date:

July 23, 2011

To:

Cpt. Bellman,

Prom:

cia Conti

Subject:

In111atc

'0:1"1'""1"

Terry Lee SID# 3886090

Sir:
On July 23,20 II, at
was ordered by the OIC, Captain Bellman, to report to the
Upon my arrival I relieved cia Hickey who informed me that Inmate
Barker had passed away.

asp Intirmary.

I was informed by cia Hickey that RN Christina ivlihalyi-Maruna and RN Jenni!"er
Stevens were noti lied by thc Hospice volunteer, Inmate Jimmie Cohron SID# 4577168,
that Inmate Barker had expired. Both nurses responded to room 328 in the asp
Intinnary. Inmate Cohron and Inmate Stuart Boyd, SID# 6952044, were present in the
room when Inmate Barker expired as well as the ward orderly Inmate Whiting, Kevin
SID# 10313531.
Inmate Barker's roommate, Inmate 1·leath, James SID# 4357424, was in his assigned bed,
bednuillber 4, at the time of IllIuate Barker's passing. He was removed to a new bed on
the ward t1oor.
At 5:00 pm, the Marion County iVfedieal Examiner, Jane Mortitt, arrived in the room and
examined the body of Inmate Barker. At 5:07 pm, !vIE lvloftill declared that she was
releasing the body. At 5:08 pm, she questioned Inmate Boyd and Imnate Cohron.
RN Stevens notified IVIE Moffitt that Mr. Ted Randall had made all the necessary next of
kin notifications.
At 5:45 pm, State Police Detective Gregg C. Withers arrived and examined the body of
Inmate Barker. He also questioned 111l11ate Boyd and Inmate Cohron as well as RN
Stevens and RN lvlihalyi-Maruna. Del. Withers then cleared the crime scene and stated
that the fhneral home could remove the remains of h1Jnate Barker.
At 6:30 pm, the body ofInmate Barker was removed from the
to Master Control for pick up by Alternative Funeral Home.
End of Report.

asp inlirmary and taken

TO: Captain Beilman, OSP Third Shift ole
FROM: Correctional Officer D. Hickey
DATE: July 23, 2011
SUBJECT:: Inmate Barker, Terry 810#3886090

. On July 23, 2011 at 1545 hours Inmate Boyd, Stuart #6952044 came to the Officer's
station and informed me that Inmate Barker, Terry #3886090, assigned to Infirmary bed
IN-03, had passed away. I walked towards the ward and RN Maruna confirmed that
inmate Barker had passed away. Rn Stevens had already cleared the rooms of inmate
Heath #4357424 assigned IN-04, Inmate Boyd #6952044 assigned inmate Hospice
care, inmate Cohron #4577168, assigned Hospice while scheduling a vigil, and inmate
Juras, Andrew, assigned Infirmary Orderly. While RN Stevens stayed at the doorway to
the side room for IN-03 and IN-04 I returned to the Officer station and notified Master
Control by telephone of the death. of inmate Barl<er. I then conducted count and relieved
-

RN Stevens Recording who was in the room and starting a crime scene log at 1600 until
I was relieved by CO Contrases at 1610 to continue my duties as the Infirmary Officer...
End of memorandum.

\

llF'"

Ill=lliImg~hlb

@~~vm@~@

!lRblli~IiNbill@~~rnQl)Qd)1Ii¥lll

TO:

OIC

FROM:

~~;~~~~~ ~tevens, RN dl)'Gil,(I~(I"'J

DATE:
SUBJECT:

Barker, Terry #3886090

On 7/23/2011 @ 1545 Nurse Chris Mihayli-Maruna, RN
approached me at infirmary bedside #11 and told me that
Terry Barker #3886090 had passed away. I immediately went
to infirmary bed #3 and assessed Terry Barker. He was found
to be sitting up in bed, no respirations, no apical or radial
pulse, and pupils dilated. Hospice volunteer Jimmie Cohron
#4577168 was at bed side #4 with James Heath #4357424
and hospice volunteer Stuart Boyd #6952044 was standing
just outside the room. Inmate orderly Andrew Juras
#12942661 was present in room. I asked 11M Juras and
Cohron to assist 11M Heath out of the room to the day area. I
placed a privacy screen in front of window with the assistance
of Nurse Maruna. Once the room was cleared, I proceeded to
stand at room entry until relieved by C/O Hickey.

STATE OF OREGON
DEPARTMENT OF CORRECTIONS
OREGON STATE PENITENTIARY

DATE:

July 23, 2011

TO:

To Whom It May Concern
Oregon State Penitentiary

FROM:

Chris Maruna
Oregon State PenitentialY

SUBJECT:

Terry Barker

INTEROFFICE MEMO

On 7/23/11 I was working the infirmary as the primary nurse. At 1545 Jimmie
Cohron #4577168 told me that Barker did not appear to be breathing. I went into the room and
found Mr Barker sitting up in bed with his head slumped forward. I was unable to hear an apical
pulse or breath sounds with my stethescope . I notified Illy nurse manager and the infirmary C.O.

cc:

File

========================~O~5*P~~£~~~tj~~s=====================:========~

Unusua[ inddent Nur::>flEg FQrm
FOr Securit'y Repoft
Date:

Time:

The inmate named above was seen by a nurse for examination of possible
Post Altercation o·
- _ Medical Issues [lJ/ l"iental Health Issues 0
In the Clinic

{es 0

In General Population

Yes 0

In Special Housing

Yes

No 0
No 0
/

[J/

No 0

"D"(t' {[ y

The following was found:
Injuries Noted

Yes 0

NoG

Medical Treatment Indicated

Yes 0

No 0

Significant Medical Treatment

Yes 0

No 0

Requiring Infirmary Care

Yes 0

No 0

Requiring Hospitalization

Yes 0

No 0

(\ Iw

ntis form needs to be filled out immediately after an evaluation of an inmate and provided to the Officer-in-Charge (OIe) when incidents arise, e.g., post altercation, use
of force, death, PREA, medical emergency.

p;osP Forms/Inmate

C'f

.·-vc
() I ~--~
'.
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,

Page 2
Only persons authorized by an Oregon State Police supervisor or detective in charge shall be
permitted to enter the crime scene. Those persons may be required to give hail~ fiber, or
other types of samples.
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CD 1201 D(1/96)

Department of Corrections

Oregon State Penitentiary
Inmate Death Notification Sheet
Date:

':1. ,?,').. II
I,

~:;

Inmate Name:

Time:

\ )C:J;! LUI

15 L /5

=S:.p:r

OIC:

tVNI1'')r'U1

c"-/

Use Offender Information Screen, Print public Information Screen.

1. Assign staff I
initiate a
2. Preserve all
3. Ni tness list

Name:
crime Scene COl1tanunat~on Log.
Evidence.
(Do not interviet.l)

Time
Paged:

Name of person

contacted:
0.0.

'7YIJ\.\ C);\nLl

QO.L\......

Asst. supt. Security
Yoder

J.\.

IlOC)~J.

\LOC!O

superintendent:
J. Premo

Asst.

D~l".

InstJ.tut~on5

B. Belleque - Apr I Aug, Dec
GONer - Feb, JUl1, Oct
Hoefel - Jan, l<lay, Sep
S· Blacketter - Mar, Jul,
Nov

I ( "n i \
ILPOLr

to secure the scene and

'Ilime
contacted:

\LoO~

IloOL\

comments:

r.

OI\!l '\ no, \>\ \,

U

ck

LeI;;\; \Y\~\'

Superintendent \·d~l determine
if additional notifications
beyond the institution need to
be made.

\ loOlo

To be notified before the state

Police are notified.

X

$.
).I.

Unusual Incident Briefing
Summary Requested: Yes No-

1~~fY for attempted suicide

o.:v'\ \.1 OU.. \

Q.CL\\

P.I.O.
1-11che11e Dodson

III "OCl

I I n()C\

state Police

~~

Doer.

\:.. \r~oJ\)U"

Case If

Ilo\\

1;\) , "'''\,QJ\. ""
Camm. Manager:

\ I ,)f.Xj

\\ D1~ \ «S Q.

L,,'<;'\

After hours call home first
Unusual Incident Briefing
Summary Requested: Yes
No

\'i\t.S..'oQ.c(}-

II",!).\
Medical Examiner:

\lpl!

I \

I () ;-17)

\-1,,, It\ (L\ 0

!)() YV\ ~ /\

CTS Manager
Brian l'lalh:er

Suic~ide

Health Services:
T. Randall

Notify for .l.nmate medJ.cal
transport after normal business
hours

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DC\'\.Jl: \ I 0
7::,1/1t'd

,1,0\,(11

Funeral Home Duty Call Calendar
Alternative Burial and Cremation of Oregon, Shet"\'lood, Or. 503-925-8685
Person Contacted:

P~'N-y

Time: /,,( D

...:::.

JfvJ

'6

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