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Policy 704Santa Ana Police Department Custody Manual Copyright Lexipol, LLC 2025/04/15, All Rights Reserved. Published with permission by Santa Ana Police Department***DRAFT*** Emergency Health Care Services - 1Emergency Health Care Services 704.1 PURPOSE AND SCOPE This policy establishes plans and procedures for responding to medical emergencies in the facility when the level of medical or mental health services exceeds the licensure or certification of staff who are on-duty, and to define staff training requirements. _ 704.2 POLICY It is the policy of this department that emergency medical, mental health, and dental services are available 24 hours a day. These services may include off-site health care services. 704.3 PROCEDURES The Jail Administrator or authorized designee shall work cooperatively with the Responsible Physician to develop plans and procedures for responding to emergency medical incidents that occur when the level of medical or mental health services needed exceeds the licensure or certification of staff who are on-duty. The plans should include: on-site emergency first aid, basic life support and crisis intervention; emergency evacuation of an incarcerated person from the facility, including security procedures to ensure an immediate transfer when appropriate; and on- call physicians and mental health professionals. The plan may additionally include but is not limited to these components: (a)Health-trained staff shall respond to all emergencies immediately upon notification. (b)Contact procedures for emergency on-call health care services, both on- and off-site, are available and accessible for facility supervisors. (c)Qualified health care professionals shall respond by reporting to the area of the emergency with the necessary emergency equipment and supplies. (d)Emergency equipment and supplies are regularly maintained and accessible to the qualified health care professionals. (e)Most incarcerated persons will be stabilized on-site and then transferred to an appropriate health care unit, if necessary. (f)Notification of on-call physicians and mental health staff will be done as soon as the situation reasonably allows. (g)The qualified health care professionals will determine if the incarcerated person needs to be transported to a local emergency room for treatment. (h)When necessary, the facility shift supervisor or designee will contact SAPD dispatch when requesting emergency services. (i)The Agency responsible for the inmate's incarceration will manage the notification of the inmate's next of kin in cases of serious illness and injury. Death notifications will be made in accordance with the In Custody Deaths Policy. Santa Ana Police Department Custody Manual Emergency Health Care Services Copyright Lexipol, LLC 2025/04/15, All Rights Reserved. Published with permission by Santa Ana Police Department***DRAFT*** Emergency Health Care Services - 2704.4 EMERGENCY PROCEDURES The health services administrator or the authorized designee is responsible for ensuring the following information, equipment, and personnel are available in the event an incarcerated person requires emergency treatment (15 CCR 1206(c)): (a)Current contact information for all persons and agencies to be notified in an emergency. (b)Emergency drugs, equipment, and supplies should be readily available at all times and replenished after each use. An inventory control system should be in use to ensure the necessary supplies are present when needed and have not expired. (c)A physician, dentist, and mental health professional should be available on-call 24 hours a day, seven days a week (this can include off-site health care services) and there should be a back-up health care services plan. (d)Ambulances should be accessed by calling the appropriate emergency number. There should be a clear security plan in place for the transportation of incarcerated persons. (e)The Shift Supervisor will be contacted and informed of any emergency as soon as practicable. (f) (g)Whenever reasonably possible, the on-call health care service should be notified prior to transporting the incarcerated person to the hospital or other emergency care. However, in the event of a life- or limb-threatening emergency, the incarcerated person shall be sent to the hospital in the most expedient way possible, which may require notifying the specific health care service after the person has been transported. 704.4.1 CPR REQUIREMENTS The Jail Administrator and the Responsible Physician shall develop CPR procedures for correctional officers consistent with the provisions in 15 CCR 1028, including: (a)Acceptable CPR methods and application. (b)Requiring all correctional officers to be CPR-certified and to begin CPR on a nonresponsive person without obtaining approval from a supervisors or medical staff when it is safe and appropriate to do so. (c)Requiring correctional officers to immediately call for medical aid and administer CPR to nonresponsive individuals unless CPR is contraindicated by known medical conditions. (d)Instructing correctional officers to use personal protective equipment (PPE) when possible to minimize exposure to bodily fluids and pathogens. (e)Instructing correctional officers in situations where imminent physical danger prevents the safe administration of CPR, correctional officers shall initiate or resume CPR as soon as the threat is resolved or the nonresponsive individual is safely removed from danger, provided medical assistance has not yet arrived. Santa Ana Police Department Custody Manual Emergency Health Care Services Copyright Lexipol, LLC 2025/04/15, All Rights Reserved. Published with permission by Santa Ana Police Department***DRAFT*** Emergency Health Care Services - 3(f)Continuing CPR, absent imminent physical danger, until the nonresponsive person shows signs of life, such as breathing or movement, or until health care professionals take over. (g)Deferring CPR to health care professionals or alternative medical responders if they are present when a person is nonresponsive. 704.5