When an inmate becomes ill and requires care, the bailiff shall request paramedics and, if possible, retain the inmate in the custody area until such help arrives. The bailiff shall also contact the branch supervisor for the possible need to accompany/transport the inmate to an emergency medical facility. Further action will be determined based on the recommendation of the medical attendants, with security of the inmate considered at all times. If the inmate is to be transported by ambulance to a local hospital, an armed deputy shall escort the inmate in the ambulance. If possible the inmate shall be handcuffed to the ambulance stretcher. While at the hospital the escorting deputy shall never leave the inmate. In the event the hospital will not release the inmate, the escorting deputy shall contact the IRC or CRDF desk for relief at the hospital after normal duty hours. The necessary reports shall be prepared.