6-05/030.00 Emergency Medical Procedures

When an inmate is injured or sick to the extent that emergency medical assistance is required, station jail personnel shall immediately notify the station desk personnel, who shall immediately request paramedics for treatment and transportation to the most appropriate hospital emergency department.

First aid and cardiopulmonary resuscitation (CPR) shall be administered by personnel whenever necessary prior to the arrival of paramedics, fire department personnel, and/or ambulance personnel, in accordance with Department training.

• Station jail personnel shall use personal protective equipment when providing emergency care whenever possible and reasonably safe to do so.

• If safety concerns prevent station jail personnel from administering CPR or other emergency care, they shall initiate or resume CPR as soon as it is reasonably safe to do so, including once the threat has subsided or the inmate has been moved to a secure environment.

• Station jail personnel shall continue administering CPR or rescue breaths until the inmate is breathing or until healthcare staff or alternative medical responders arrive and take over.

In cases where the inmate is found to be unresponsive, personnel shall administer Naloxone (Narcan Nasal Spray). In cases where the inmate is found to be unresponsive, does not appear to be breathing, or lacks a pulse or other signs of circulation, custody personnel shall employ the AED. Custody personnel should not employ the AED if the inmate is conscious, breathing, or has a detectable pulse or other signs of circulation. Refer to Custody Division Manual (CDM) sections 3-14/090.00, "First Aid and Emergency Response Kits," 5-03/060.00, “Response to Inmate Medical Emergencies,” 5-03/060.15, “Nasal Spray Administration for Suspected Overdoses,” and SJM section 6-06/010.00, "Attempted Suicide/Suicides."

Should an inmate become ill or require on-going medical treatment not amounting to an emergency, arrangements shall be made for the inmate to be transported to the Inmate Reception Center (IRC), Century Regional Detention Facility (CRDF), or Los Angeles General Medical Center jail ward. If this is not possible within a reasonable period, the inmate shall be transported via radio car to the nearest hospital emergency room for examination/treatment.

The watch commander shall be consulted as to the proper documentation of the incident as delineated in SJM section 6-05/020.00, “Injured Inmates.”

Correctional Health Services (CHS) shall be notified of any hospital admissions only to facilitate a timely transfer to Los Angeles General Medical Center, IRC, or CRDF. The inmate shall be transported only after they are stable for transfer. Notifications shall be made via telephone and email to the Quality Management Unit Comprehensive Care Team and the Medical Command Center nursing staff at:

• Monday thru Friday from 0700 – 1500: (213) 893-5505

• Monday thru Friday from 1500 – 0700 (including weekends and holidays): (213) 893-5543

• Email Group: CHSMedSrvsBureauCompCareTeam@dhs.lacounty.gov

Should a juvenile become seriously ill or injured while detained in a station jail, the concerned station watch commander shall notify the appropriate court and parent, guardian, or person standing in loco parentis, in accordance with Title 15, Minimum Standards for Local Detention Facilities, section 1047, "Serious Illness or Injury of a Minor in an Adult Detention Facility."

The AED model approved for use in station jails is the HeartSine PAD 350P.