Policy Text
Court Security Division P age 1 of 4 4/04 (REV 6/11)
Holding Area: Inmate Medical Emergencies
The purpose of this Operations Or der is to outline the policies and procedures for
handling medical emergenc ies involving in-c ustody defendants de tained at the Gordon
D. Schaber Courthouse facility, th e Lorenzo E. Patino Hall of J ustice (Main Jail), the
William R. Ridgeway Family Relat ions Courthouse, the B.T. Colli ns Juvenile
Courthouse, and the Carol Miller Justice Center.
I. Policy
All persons under the custodial c ontrol of the Sheriff’s Depart ment shall receive prompt
and professional medical assistan ce anytime they are faced with a medical emergency.
II. Authority
A. The facility shall have emer gency health care services avail able to all in-
custody defendants.
1. California Code of Regulatio ns (CCR), Title 15, Division 1, Chapter
1, Subchapter 4, Minimum (Jail) Standards for Local Detention
Facilities, Article 11, Section 1200.
2. Penal Code §4011.5
B. The holding area shall have Fi rst Aid kit(s) available that are accessible at
all times.
1. CCR, Title 15, Minimum (Jail) Standards, Article 11, Section 1220.
C. All deputy sheriffs shall be tr ained and certified in admini stering First Aid
and CPR.
1. Penal Code §13518
2. CCR, Title 22, Pre-Hospital Emergency Standards for Public S afety
Officers, Chapter 9, Article 1.5.
III. First Responding Officers
A. Notify Court Control of the medical emergency, including:
1. The location of the incident
Court Security Division P age 2 of 4 4/04 (REV 6/11) 2. The nature of the medical emergency
3. A brief description of the per son having the medical emergen cy
a. Sex b. Age c. Any known medical problems
B. Request Additional Assistant
1. Personnel
a. Officers b. Fire/Medical Response
2. Equipment
a. First Aid Kit b. Automatic Externa l Defibrillator (AED)
C. Secure the sc ene before entering
1. Officer safety rules apply
a. Do not enter a holding cell by yourself. b. Lock down the holding area.
(1) Remove other in-custody defendant(s) from the cell.
(2) Postpone routine move ments of in-custody
defendants.
c. Remove all potential w eapons and hazards from the
surrounding area.
D. Administer the appropriate First Aid. E. Provide updates to Court Control. F. Complete the appropriate repor ts at the conclusion of the em ergency.
IV. Court Control Responsibilities
A. Activate the cameras in the location of the incident.
B. Request additional officers r espond to the medical emergency location.
Court Security Division P age 3 of 4 4/04 (REV 6/11) C. Contact Fire Dispatch for their response.
1. Call (916) 228-3035 2. Advise Fire Dispat ch of the following:
a. Nature of emergency b. Brief description of the person having the medical
emergency.
(1) Sex (2) Age (3) If the defendant is con scious and/or breathing
(4) Any known medical problems
c. What facility entrance re scue personnel should use.
D. Notify the facility supervi sor of the medical emergency.
E. Notify the entry screening o fficers that Fire/Medical person nel will be
responding.
F. Make notes of critical time s, requests made, and actions tak en during the
incident.
V. Supervisor’s Responsibilities
A. Upon arrival at the scene, the Sergeant shall take command o f the scene
and coordinate operations.
1. Ensure officer safety is not jeopardized. 2. Confirm Fire/Medical assistance is responding.
3. Advise the Division Commander , Assistant Commander, and/or t he
satellite facility commander of the in-custody defendant’s medi cal
emergency.
4. If Fire rescue personnel dete rmine the in-custody defendant
requires minor medical attenti on, the defendant may be returned to
their correctional facility to be treated by the facility’s med ical staff.
5. If Fire rescue personnel dete rmine the in-custody defendant
requires further immediate medi cal attention, the defendant wil l be
transported by ambulance to a local hospital.
a. Assign two officers to perform security transport.
Court Security Division P age 4 of 4 4/04 (REV 6/11) (1) One officer will ride in t he back of the ambulance with
the in-custody defendant.
(a) The defendant will be restrained during the
transport in the safest manner to prevent escape and further injury.
(2) One officer will follow behind the ambulance in a
Court Security vehicle.
b. Both officers will remain with the in-custody defendant
throughout all medical proced ures at the hospital.
(1) One officer may take periodic breaks, as needed,
while the other officer remains with the defendant.
6. Collect any property belongi ng to the in-custody defendant.
Coordinate the return of the pr operty to the co rrectional facil ity to
which the defendant is incarcerated.
B. Notify the correctional fac ility in which the defendant is h oused of