Changes for page AE 02 Restraints

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...	...	@@ -24,49 +24,44 @@
24	24
25	25	Review Date:
26	26
27		-09/06/2012
	27	+04/03/2017
28	28
29	29
30		-Sheriff Cory Pulsipher
	30	+Sheriff Cory C, Pulsipher
31	31
32		-Undersheriff Bart Bailey
	32	+Undersheriff James Standley
33	33
34	34
35	35	__**TABLE OF CONTENTS**__
36	36
37		-AE 02_101 Distribution
	37	+AE 02_101 Definitions
38	38
39		-AE 02_102 Definitions
	39	+AE 02_102 References
40	40
41		-AE 02_103 References
	41	+AE 02_103 General
42	42
43		-AE 02_104 General
	43	+AE 02_104 Outside Secure Perimeter
44	44
45		-AE 02_105 Outside Secure Perimeter
	45	+AE 02_105 Pregnant Prisoner
46	46
47		-AE 02_106 Pregnant Prisoner
	47	+AE 02_106 Restraint Chair
48	48
49		-AE 02_107 Restraint Chair
	49	+AE 02_107 Crisis Intervention
50	50
51		-AE 02_108 Crisis Intervention
	51	+AE 02_108 Documentation
52	52
53		-AE 02_109 Documentation
54	54
	54	+**AE 02_101 __DEFINITIONS__**
55	55
56		-**AE 02_101 __DISTRIBUTION__**
57		-
58		-1. Standard.
59		-
60		-**AE 02_102 __DEFINITIONS__**
61		-
62	62	1. WCSO: Washington County Sheriff's Office
63	63	1. PCF: Purgatory Correctional Facility
64	64	1. Restraint: Any device or mechanism that physically controls or limits ordinary movement or range of motion.
65	65	1. Restraint Chair: A chair-like, full-body restraining device.
	60	+1. Restraint Device: Any atypical restraint mechanism, such as the restraint chair, backboard, etc.
66	66	1. Shackles: A set of restraints consisting of hand restraints attached to a chain or belt wrapped around a prisoner's waist and locked behind the prisoner's back and leg restraints.
67	67	1. Hard and Soft Restraints: “Hard” and “soft” restraints refer to the type of material that comes in contact with the prisoner. For example, handcuffs would be considered hard restraints; a leather belt shackle would be considered a soft restraint.
68	68
69		-**AE 02_103 __REFERENCES__**
	64	+**AE 02_102 __REFERENCES__**
70	70
71	71	1. Utah Counties Insurance Pool:
72	72	11. ML-V.A.1.
...	...	@@ -78,10 +78,13 @@
78	78	11. F05.03.03: Restraint Chairs
79	79	11. F05.03.04: Restraints: Crisis Intervention
80	80	11. F05.03.05: Restraints: Supervision and Care
	76	+11. F05.03.06: Restraints: Supervision and Care During Extended Periods in Restraints
	77	+11. F05.03.07: Restraints: Pregnant Women
81	81	11. F05.04.01: Medical Examination and Treatment Following Use of Force/Restraint
82	82	11. F05.04.02: Documentation Requirements
	80	+11. H04.03.05: Restraining Pregnant Inmates
83	83
84		-**AE 02_104 __GENERAL__**
	82	+**AE 02_103 __GENERAL__**
85	85
86	86	1. Policy:
87	87	11. Restraints may be used as a:
...	...	@@ -89,13 +89,13 @@
89	89	111. Control option in conjunction with a use of force event (e.g., controlling a physically violent prisoner).
90	90	11. Soft restraints instead of hard restraints should be used when available and feasible.
91	91	11. Determination of the type and application of restraints used shall be according to officer discretion and consistent with the involved officers' training.
92		-11. Use of force options performed shall be consistent with the involved officers' training and policy: AE 01 Use of Force.
	90	+11. Use of force options performed shall be consistent with the involved officers' training and policy: [[AE 01 Use of Force>>doc:Policy.Administrative.AE 01 Use of Force.WebHome]].
93	93	11. Prisoners in restraints should be supervised at all times. Prisoners should not be left unattended while in restraints unless observation can be done remotely (i.e., video surveillance).
94	94	11. Medical staff shall:
95	95	111. Provide guidance concerning any health concerns;
96	96	111. Observe for indications of distress (e.g., positional asphyxia);
97	97	111. Make, at a minimum, checks on the prisoner’s well-being every fifteen minutes when significant restraint devices are used (e.g., back board, restraint chair);
98		-111. Make recommendations for discontinuing the use of a restraint chair, when necessary; and
	96	+111. Make recommendations for discontinuing the use of a restraint device, when necessary; and
99	99	111. Conduct an evaluation on each prisoner against whom force was used.
100	100	11. During extended periods of restraint, prisoners should be permitted to use toilet facilities.
101	101	11. If a prisoner is restrained for more than an hour, the prisoner should be permitted to stretch his/her muscles.
...	...	@@ -108,12 +108,12 @@
108	108	11. Use of restraints should be as humane as possible.
109	109	11. Restriction of body movement for extended periods of time could create medical concerns.
110	110
111		-**AE 02_105 __OUTSIDE SECURE PERIMETER__**
	109	+**AE 02_104 __OUTSIDE SECURE PERIMETER__**
112	112
113	113	1. Policy:
114	114	11. Prisoners shall be placed in shackles when outside the secure perimeter of PCF, unless otherwise authorized.
115	115	11. Shackles shall be used on all prisoners during transportation events that occur after initial admission to PCF; except for prisoners participating in an approved Community Release program.
116		-11. Shackles shall be used on all prisoners during court sessions; unless otherwise specified by the presiding judge.
	114	+11. Shackles should be used on all prisoners during court sessions; unless otherwise specified by the presiding judge.
117	117	11. At a minimum and when feasible, prisoners in custody at a hospital shall:
118	118	111. Wear leg restraints; and
119	119	111. Be securely attached to the hospital bed.
...	...	@@ -122,21 +122,22 @@
122	122	11. Shackles provide greater control against prisoner escape and/or misbehavior.
123	123	11. Types of restraints used in a hospital environment may be limited due to the specific location within the hospital, the condition of the prisoner, and/or the testing/care being conducted.
124	124
125		-**AE 02_106 __PREGNANT PRISONER__**
	123	+**AE 02_105 __PREGNANT PRISONER__**
126	126
127	127	1. Policy:
128	128	11. Pregnant prisoners shall be handcuffed in front of their body instead of behind.
	127	+11. Pregnant inmates during labor or the postpartum recovery period should not be shackled.
129	129	1. Rationale:
130	130	11. If a prisoner falls forward, being handcuffed in front will allow the prisoner's hands to be used to break the prisoner's fall.
131	131
132		-**AE 02_107 __RESTRAINT CHAIR__**
	131	+**AE 02_106 __RESTRAINT DEVICES__**
133	133
134	134	1. Policy:
135		-11. If medical staff are not on-duty, the use of a restraint chair should be limited to significant (and documented) necessity and a temporary time frame.
	134	+11. If medical staff are not on-duty, the use of a restraint devices should be limited to significant (and documented) necessity and a temporary time frame.
136	136	1. Rationale:
137		-11. Use of a restraint chair may increase medical concerns for the prisoner and should be monitored closely by medical staff.
	136	+11. Use of a restraint device may increase medical concerns for the prisoner and should be monitored closely by medical staff.
138	138
139		-**AE 02_108 __CRISIS INTERVENTION__**
	138	+**AE 02_107 __CRISIS INTERVENTION__**
140	140
141	141	1. Policy:
142	142	11. PCF Medical staff should offer crisis intervention assistance to PCF-incarcerated prisoners during and/or after the use of a restraints in conjunction with use of force events.
...	...	@@ -143,11 +143,11 @@
143	143	1. Rationale:
144	144	11. Prisoners whose actions require the use of restraint devices may be acting out as a result of mental illness, personality disorders, or other emotional problems which require mental health intervention.
145	145
146		-**AE 02_109 __DOCUMENTATION__**
	145	+**AE 02_108 __DOCUMENTATION__**
147	147
148	148	1. Policy:
149	149	11. Precautionary uses of restraints may be (but are not required to be) documented in the jail computer system. However, precautionary events with an atypical factor should be documented.
150		-11. Use of force events involving the use of restraints shall be documented in the jail computer system. All jail use of force events shall be documented as a jail incident (refer to policy: CD 03 Jail Incident Report).
	149	+11. Use of force events involving the use of restraints shall be documented in the jail computer system. All jail use of force events shall be documented as a jail incident.
151	151	11. Use of force applications of restraints shall be video recorded whenever reasonably possible.
152	152	1. Rationale:
153	153	11. Precautionary uses of restraint devices are a standard practice for many routine tasks; thus, documentation of each use would create a significant and time consuming burden upon staff.